Organization
FAIRBANKS YOUTH ADVOCATES
Active
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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