Individual
COLLEEN FLYNN
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
2366 POPPY DR, NORTH POLE, AK 99705-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
225211
AK
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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