Organization
INTERIOR ALASKA DBT & COUNSELING, LLC
Active
Organization
INTERIOR ALASKA DBT & COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M WORRALL PH.D. (PSYCHOLOGIST)
(907) 712-7667
Entity
Organization
Contact information
Practice address
565 UNIVERSITY AVE STE 4, FAIRBANKS, AK 99709-3688
(907) 712-7667
(907) 202-8341
Mailing address
PO BOX 70485, FAIRBANKS, AK 99707-0485
(907) 712-7667
(907) 202-8341
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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