Individual
GUNNAR EBBESSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC MAC
Contact information
Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
(800) 988-1650
Mailing address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
(800) 988-1650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
503051
AK
101YM0800X
Mental Health Counselor
Primary
452
AK
Other
Enumeration date
02/26/2008
Last updated
12/09/2011
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