Organization
GOLDEN HEART FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVAN WESLEY WALKER LMFT (OWNER/ MARRIAGE & FAMILY THERAPIST)
(907) 750-3010
Entity
Organization
Contact information
Practice address
626 2ND ST., STE 303, FAIRBANKS, AK 99701
(907) 750-3010
(907) 600-5066
Mailing address
PO BOX 60474, FAIRBANKS, AK 99706-9998
(907) 750-3010
(907) 600-5066
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558691105
INDIVIDUAL NPI
—
Enumeration date
01/31/2023
Last updated
01/31/2023
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