Organization
FAIRBANKS COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA D. SMITH MSW (DIRECTOR)
(907) 451-1800
Entity
Organization
Contact information
Practice address
250 CUSHMAN ST, STE 4F, FAIRBANKS, AK 99701-4640
(907) 451-1800
(907) 451-3755
Mailing address
250 CUSHMAN ST, STE 4F, FAIRBANKS, AK 99701-4640
(907) 451-1800
(907) 451-3755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
904
AK
Other
Enumeration date
04/16/2014
Last updated
06/07/2014
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