NPI 1124613716

Kenneth Gillespie, PHDMS

Practitioner Marriage & Family Therapist Fairbanks, AK

Practice location

Address: 209 Forty Mile Ave, Fairbanks, AK 99701-3110
Phone: (907) 456-6445

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in Alaska →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Alaska →

Registry record

NPI: 1124613716
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2021
Record last updated: 4 Mar 2021

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.