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Organization

FOUNDATIONS THERAPEUTIC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINA HERNANDEZ POWERS LCSW (OWNER)
(907) 331-0123
Entity
Organization

Contact information

Practice address
1901 N HEMMER RD STE 209, PALMER, AK 99645-9690
(907) 331-0123
Mailing address
PO BOX 1723, PALMER, AK 99645-1723

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
04/26/2019
Last updated
12/27/2023
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