person
Candice Kyleen Nathaniel
Mental Health Counselor in Fairbanks, Alaska
NPI 1932472172

Candice Kyleen Nathaniel is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Candice Kyleen Nathaniel practices in Fairbanks, AK. The NPI Number for Candice Kyleen Nathaniel is 1932472172 and holds a License No. (Alaska).

The current practice location address for Candice Kyleen Nathaniel is 110 2Nd Ave, Fairbanks, AK and can be reached out via phone at 907-452-7946 and via fax at 907-452-7942.

Location: 110 2Nd Ave, Fairbanks, AK, 99701-6073
person
Provider Profile Details
NPI Number
1932472172
Provider Name
Candice Kyleen Nathaniel
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 2Nd Ave, Fairbanks, AK, 99701-6073
Phone Number
907-452-7946
Fax Number
907-452-7942
Provider Enumeration Date
02/20/2012
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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