Organization
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ATCHISON (DIRECTOR)
(907) 452-1575
Entity
Organization
Contact information
Practice address
3830 SOUTH CUSHMAN STREET, FAIRBANKS, AK 99701
(907) 452-1575
Mailing address
3830 SOUTH CUSHMAN STREET, FAIRBANKS, AK 99701
(907) 452-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68067
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
01/09/2007
Last updated
04/02/2009
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