person
Mr. Clarence Allan Pate
Mental Health Counselor in Fairbanks, Alaska
NPI 1194097212

Clarence Allan Pate is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Clarence Allan Pate practices in Fairbanks, AK. The NPI Number for Clarence Allan Pate is 1194097212 and holds a License No. (Alaska).

The current practice location address for Clarence Allan Pate is 110 2Nd Ave, Fairbanks, AK and can be reached out via phone at 907-452-7946 and via fax at 907-452-7942. You can also correspond with Clarence Allan Pate through the mailing address at 5173 PALO VERDE AVE, FAIRBANKS, AK - 99709-3130 (mailing address contact number: 907-378-8161).

Location: 110 2Nd Ave, Fairbanks, AK, 99709-3130
person
Provider Profile Details
NPI Number
1194097212
Provider Name
Clarence Allan Pate
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 2Nd Ave, Fairbanks, AK, 99709-3130
Phone Number
907-452-7946
Fax Number
907-452-7942
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH0157 05 AK
institution
Provider Business Practice Location Address Details
Address
110 2Nd Ave
City
State
Zip
99701-4809
Phone Number
907-452-7946
Fax Number
907-452-7942
person
Provider Business Mailing Address Details
Address
110 2Nd Ave
City
State
Zip
99701-4809
Phone Number
907-452-7946
Fax Number
907-452-7942
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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