Individual
SUSAN MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 459-3800
(907) 459-3810
Mailing address
1679 KIVALINA ST # A, FAIRBANKS, AK 99709-5122
(907) 459-3800
(907) 459-3810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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