NPI 1528830122 · live from the CMS NPI Registry
Alaska Counseling & Trauma Center, LLC
Counselor, Professional in Fairbanks, AK. National Provider Identifier 1528830122, active.
NPI record
| NPI | 1528830122 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 250 Cushman St Ste 4d, Fairbanks, AK 99701 |
| Practice phone | 907-888-2665 |
| Mailing address | Po Box 72206, Fairbanks, AK 99707 |
| Enumerated | October 26, 2023 |
| Last updated | February 7, 2024 |
| Authorized official | Elizabeth Sewell, Owner |
| Other names | Alaska Counseling Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.