Individual
MRS. KAREN R BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 CUSHMAN ST STE 103, FAIRBANKS, AK 99701-4668
(907) 456-4620
(907) 457-6598
Mailing address
122 1ST AVE, SUITE 201, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 457-6598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225600000X
Dance Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
07/20/2011
Last updated
07/10/2024
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