Most Relevant Information
Provider Data
| NPI Number: | 1003580937 |
| Provider Name: | TERRA DUNKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2021 |
| Last Updated: | 08/04/2021 |
Provider Practice Location
542 4TH AVE STE B101
FAIRBANKS
AK
997014707
Practice Location Phone/Fax
| Phone: | 9073741097 |
| Fax: |
Provider Mailing Location
PO BOX 73004
FAIRBANKS
AK
997073004
Provider Mailing Phone/Fax
| Phone: | 9073741097 |
| Fax: |