Lifeologist Wellness & Educational Consultant | |
815 2nd Ave Ste 112 Fairbanks AK 99701-4469 | |
(907) 378-5009 | |
Not Available |
Full Name | Lifeologist Wellness & Educational Consultant |
---|---|
Speciality | Social Worker - Clinical |
Location | 815 2nd Ave Ste 112, Fairbanks, Alaska |
Authorized Official Name and Position | Yolanda Easaw-favor (OWNER) |
Authorized Official Contact | 9073785009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeologist Wellness & Educational Consultant Po Box 58450 Fairbanks AK 99711-0450 Ph: (907) 378-5009 | Lifeologist Wellness & Educational Consultant 815 2nd Ave Ste 112 Fairbanks AK 99701-4469 Ph: (907) 378-5009 |
NPI Number | 1063155422 |
---|---|
Provider Enumeration Date | 04/14/2022 |
Last Update Date | 04/14/2022 |
Certification Date | 04/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063155422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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