| Summit Therapy Llc | |
|
250 Cushman St Ste 4f Fairbanks AK 99701-4665 | |
| (619) 436-7157 | |
| Not Available |
| Full Name | Summit Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 Cushman St Ste 4f, Fairbanks, Alaska |
| Authorized Official Name and Position | Carrie L Miniard (SOCIAL WORKER) |
| Authorized Official Contact | 6194367157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapy Llc 700 Sleater Kinney Rd Se Ste B189 Lacey WA 98503-1150 Ph: (619) 436-7157 | Summit Therapy Llc 250 Cushman St Ste 4f Fairbanks AK 99701-4665 Ph: (619) 436-7157 |
| NPI Number | 1063288348 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063288348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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