Individual
JUDY HARUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1867 AIRPORT WAY STE 200, FAIRBANKS, AK 99701-4061
(907) 802-2493
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
129761
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
07/29/2013
Last updated
12/09/2021
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