Bessie Green Lcsw, Llc | |
250 Cushman St Ste 2g Fairbanks AK 99701-4665 | |
(907) 251-5775 | |
Not Available |
Full Name | Bessie Green Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 250 Cushman St Ste 2g, Fairbanks, Alaska |
Authorized Official Name and Position | Elizabeth Green (CLINICIAN, SOLE MEMBER OF LLC) |
Authorized Official Contact | 9072515775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bessie Green Lcsw, Llc 250 Cushman St Ste 2g Fairbanks AK 99701-4665 Ph: (907) 251-5775 | Bessie Green Lcsw, Llc 250 Cushman St Ste 2g Fairbanks AK 99701-4665 Ph: (907) 251-5775 |
NPI Number | 1154009777 |
---|---|
Provider Enumeration Date | 07/05/2023 |
Last Update Date | 07/05/2023 |
Certification Date | 07/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154009777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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