Shyanne Mandy Kopanuk
Shyanne Mandy Kopanuk is a Mental Health Counselor in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1825 Marika RdFairbanks, AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3261
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1508689092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2024 |
| Last updated in NPPES | November 4, 2024 |
| Certification date | November 4, 2024 |
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