NPI 1063155422

Lifeologist Wellness & Educational Consultant

Organisation Clinical Social Worker Fairbanks, AK

Practice location

Address: 815 2nd Ave STE 112, Fairbanks, AK 99701-4469
Phone: (907) 378-5009
Mailing address: PO Box 58450, Fairbanks, AK 99711-0450

Authorised official

Name: Yolanda Easaw-Favor
Title: Owner
Phone: (907) 378-5009

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Alaska →

Registry record

NPI: 1063155422
Entity type: Organization
NPI issued: 14 Apr 2022
Record last updated: 14 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.