Individual
HEIDI EILEEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3504 INDUSTRIAL AVE STE 214, FAIRBANKS, AK 99701-7390
(907) 452-4673
Mailing address
4005 TEAL AVE, FAIRBANKS, AK 99709-3521
(907) 712-4300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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