Individual
VALENTIN FONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 E KOYUK CIR, WASILLA, AK 99654-8511
(907) 795-0258
Mailing address
10880 MAUSEL ST, EAGLE RIVER, AK 99577-8019
(907) 622-7000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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