Most Relevant Information
Provider Data
NPI Number: | 1003567827 |
Provider Name: | ASHLEY LARRABEE |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 01/13/2022 |
Last Updated: | 01/13/2022 |
Provider Practice Location
1410 CALISTA DRIVE
BETHEL
AK
99559
Practice Location Phone/Fax
Phone: | 9075436730 |
Fax: | 9075436712 |
Provider Mailing Location
PO BOX 528
BETHEL
AK
995590528
Provider Mailing Phone/Fax
Phone: | |
Fax: |