Organization
WINTER MOON CHILD & FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MATTHEW (OWNER)
(907) 750-2540
Entity
Organization
Contact information
Practice address
516 2ND AVE STE 211, FAIRBANKS, AK 99701-4739
(907) 750-2540
Mailing address
607 OLD STEESE HIGHWAY, SUITE B #222, FAIRBANKS, AK 99701
(907) 750-2540
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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