Individual
LISA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.
Contact information
Practice address
626 2ND ST STE 102, FAIRBANKS, AK 99701-3466
(907) 388-0105
Mailing address
PO BOX 73511, FAIRBANKS, AK 99707-3511
(907) 451-8208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2487
AK
Other
Enumeration date
03/02/2007
Last updated
06/29/2020
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