Organization
SUNRISE COUNSELING & THERAPY SERVICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA R PICTOU LPC (PARTNER)
(907) 888-7474
Entity
Organization
Contact information
Practice address
626 2ND ST STE 303, FAIRBANKS, AK 99701-3466
(907) 888-7474
Mailing address
626 2ND ST STE 303, FAIRBANKS, AK 99701-3466
(907) 888-7474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1014123
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014123
BUSINESS LICENSE
AK
Enumeration date
12/22/2014
Last updated
12/22/2014
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