Individual
KRISTA ZODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
Mailing address
PO BOX 83605, FAIRBANKS, AK 99708-3605
(907) 347-1945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
202004
AK
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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