Organization
KINTSUGI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA REDMOND LCSW (CO-OWNER)
(907) 474-0059
Entity
Organization
Contact information
Practice address
1305 21ST AVE STE 204, FAIRBANKS, AK 99701-6084
(907) 474-0059
Mailing address
1305 21ST AVE STE 204, FAIRBANKS, AK 99701-6084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
04/06/2025
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