person
Jason Carlos Edwin-matos
Mental Health Counselor in Fairbanks, Alaska
NPI 1407400807

Jason Carlos Edwin-matos is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Jason Carlos Edwin-matos practices in Fairbanks, AK. The NPI Number for Jason Carlos Edwin-matos is 1407400807 and holds a License No. (Alaska).

The current practice location address for Jason Carlos Edwin-matos is 1825 Marika Rd, Fairbanks, AK and can be reached out via phone at 907-459-4700.

Location: 1825 Marika Rd, Fairbanks, AK, 99709-5521
person
Provider Profile Details
NPI Number
1407400807
Provider Name
Jason Carlos Edwin-matos
Credential
Provider Entity Type
Individual
Gender
Male
Address
1825 Marika Rd, Fairbanks, AK, 99709-5521
Phone Number
907-459-4700
Fax Number
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1825 Marika Rd
City
State
Zip
99709-5521
Phone Number
907-459-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1825 Marika Rd
City
State
Zip
99709-5521
Phone Number
907-459-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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