Organization
FAIRBANKS YOUTH ADVOCATES
Active
Other names
Clearwater Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. BATES LPC (CLINICAL DIRECTOR)
(907) 457-6002
Entity
Organization
Contact information
Practice address
122 10TH AVENUE, FAIRBANKS, AK 99701
(907) 457-6002
(907) 457-3610
Mailing address
PO BOX 10337, FAIRBANKS, AK 99710-0337
(907) 457-6002
(907) 457-3610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
408
AK
Other
Enumeration date
02/03/2009
Last updated
12/29/2017
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