Organization
RENEW COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ESPARZA (ADMINISTRATIVE ASSISTANT)
(907) 459-8200
Entity
Organization
Contact information
Practice address
1295 JACQUELYN LN, NORTH POLE, AK 99705-5625
(907) 888-5961
Mailing address
909 CUSHMAN ST STE 206, FAIRBANKS, AK 99701-4668
(907) 459-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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