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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL LEAKE, LPC

Active Sole Proprietor

CRYSTAL LEAKE, LPC is a Mental Health Counselor healthcare provider located in FAIRBANKS, Alaska. NPI 1235532714 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · FAIRBANKS, AK

Registration Details

NPI Number
1235532714
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2014 (11.872436454383 yrs)
Last Updated
Sep 29, 2014
License
806 (AK)
Sole Proprietor
Yes

Practice Information

Address
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK, 997017390
Browse AK providers · Browse ZIP 99701
Phone
9074524673
Fax
9074521430
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in FAIRBANKS, AK

Name Credential NPI
MS. MARILYN TURVEY 1053309799
MRS. MELVINA RUTH EVANS 1972591766
LISA HAY 1528057064
MS. MARGARET A DODGE MED 1194862128
BONNIE ABBEY 1235265430
LISA FARRELL L.C. 1578691200
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.