person
Brian Wallace Smith, MA
Mental Health Counselor in Fairbanks, Alaska
NPI 1205127735

Brian Wallace Smith is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Brian Wallace Smith practices in Fairbanks, AK and has the professional credentials of MA. The NPI Number for Brian Wallace Smith is 1205127735 and holds a License No. (Alaska).

The current practice location address for Brian Wallace Smith is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-455-1416 and via fax at 907-455-1460.

Location: 3830 S Cushman St, Fairbanks, AK, 99709-3169
person
Provider Profile Details
NPI Number
1205127735
Provider Name
Brian Wallace Smith
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3830 S Cushman St, Fairbanks, AK, 99709-3169
Phone Number
907-455-1416
Fax Number
907-455-1460
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-455-1416
Fax Number
907-455-1460
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-455-1416
Fax Number
907-455-1460
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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