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Mrs. Ellen-rose Terese Graeca
Mental Health Counselor in Fairbanks, Alaska
NPI 1629369533

Ellen-rose Terese Graeca is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Ellen-rose Terese Graeca practices in Fairbanks, AK. The NPI Number for Ellen-rose Terese Graeca is 1629369533 and holds a License No. (Alaska).

The current practice location address for Ellen-rose Terese Graeca is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-455-5304 and via fax at 907-455-1460.

Location: 3830 S Cushman St, Fairbanks, AK, 99701-7003
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Provider Profile Details
NPI Number
1629369533
Provider Name
Ellen-rose Terese Graeca
Credential
Provider Entity Type
Individual
Gender
Female
Address
3830 S Cushman St, Fairbanks, AK, 99701-7003
Phone Number
907-455-5304
Fax Number
907-455-1460
Provider Enumeration Date
04/26/2011
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
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-455-5304
Fax Number
907-455-1460
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-455-5304
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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