Mr. Waverly Fair
Mr. Waverly Fair is a Mental Health Counselor in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
3830 S Cushman StFairbanks, AK 99701-7530
Phone: (907) 455-1575
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1356694012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2012 |
| Last updated in NPPES | October 18, 2012 |
| Mailing address | 3830 S Cushman St, Fairbanks, AK 99701-7530 |
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