Family Centered Services of Alaska

NPI #1124445762 in Fairbanks, Alaska

Provider Information

NPI Number: 1124445762
Entity Type: Organization
Organization Name: Family Centered Services of Alaska
Primary Specialty: Counselor
Enumeration Date: Mar 20, 2014
Last Updated: Mar 20, 2014

Practice Location

Address: 1825 MARIKA RD
Address 2: FAIRBANKS
City: Fairbanks
State: Alaska
ZIP Code: 99709-5521
Phone: (907) 474-0890

Authorized Official

Name: ANGELIE MARIE LARA
Title: YOUTH COUNSELOR
Phone: (915) 731-5160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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