Joseph Harley Davidson
Joseph Harley Davidson is a Mental Health Counselor in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 459-4700
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1457904922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 23, 2019 |
| Last updated in NPPES | July 23, 2019 |
| Mailing address | 3101 Lathrop St, Fairbanks, AK 99701-7426 |
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