Individual
LIA AITKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 459-3800
Mailing address
1649 BAYLOR BLVD, FAIRBANKS, AK 99709-6778
(907) 987-4954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
162738
AK
172V00000X
Community Health Worker
—
AK
Other
Enumeration date
04/22/2019
Last updated
12/08/2022
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