Individual
MR. LEIF VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
Mailing address
PO BOX 83046, FAIRBANKS, AK 99708-3046
(907) 374-7776
(800) 988-1650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
883
AK
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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