ADAM BRENT CONNOLLY

FAIRBANKS, AK
NPI1407195530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-02-08
Last Update Date2013-02-08
Business Address
-- ADAM BRENT CONNOLLY
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
Mailing Address
-- ADAM BRENT CONNOLLY
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: