Individual
GABE MICHAEL DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
640 KNIGHTSBRIDGE RD, FAIRBANKS, AK 99709-2467
(907) 978-1009
Mailing address
640 KNIGHTSBRIDGE RD, FAIRBANKS, AK 99709-2467
(907) 978-1009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
467
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871624536
NPI
—
05
—
MH2770
—
AK
Enumeration date
10/01/2009
Last updated
12/27/2010
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