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Myrna Ivonne Soto
Mental Health Counselor in Fairbanks, Alaska
NPI 1801025358

Myrna Ivonne Soto is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Myrna Ivonne Soto practices in Fairbanks, AK. The NPI Number for Myrna Ivonne Soto is 1801025358 and holds a License No. (Alaska).

The current practice location address for Myrna Ivonne Soto is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-452-1575 and via fax at 907-455-5255.

Location: 3830 S Cushman St, Fairbanks, AK, 99701-7530
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Provider Profile Details
NPI Number
1801025358
Provider Name
Myrna Ivonne Soto
Credential
Provider Entity Type
Individual
Gender
Female
Address
3830 S Cushman St, Fairbanks, AK, 99701-7530
Phone Number
907-452-1575
Fax Number
907-455-5255
Provider Enumeration Date
07/06/2009
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
907-452-1575
Fax Number
907-455-5255
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
907-455-5255
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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