Most Relevant Information
Provider Data
| NPI Number: | 1003022856 |
| Provider Name: | LYNN ROBERTA HARRISON M.ED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CDC I |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 07/10/2015 |
Provider Practice Location
3504 INDUSTRIAL
FAIRBANKS
AK
99701
Practice Location Phone/Fax
| Phone: | 9074798450 |
| Fax: |
Provider Mailing Location
PO BOX 74083
FAIRBANKS
AK
997074083
Provider Mailing Phone/Fax
| Phone: | 9074798450 |
| Fax: |