CRYSTAL LEAKE

FAIRBANKS, AK
NPI1235532714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AK  806)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- CRYSTAL LEAKE LPC
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701-7390
Phone number: 907-452-4673
Mailing Address
-- CRYSTAL LEAKE LPC
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701-7390
Phone number: 907-452-4673
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