Individual
PHELICIA WAZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 FORTY MILE AVENUE, FAIRBANKS, AK 99701-3110
(907) 456-6445
Mailing address
209 FORTY MILE AVENUE, FAIRBANKS, AK 99701-3110
(907) 452-2222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
01/13/2023
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