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NPI 1811246655

IndividualActive

Alicia Wallen

NPI 1811246655 · Counselor · Fairbanks, AK

Provider details

NPI number: 1811246655
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Practice location

1825 Marika Rd

Fairbanks, AK 99709-5521

Phone: (907) 474-0890

Fax: (907) 474-3621

More AK providers

Mailing address

1825 Marika Rd

Fairbanks, AK 99709-5521

Registry dates

Enumerated: 2012-09-07
Last updated: 2012-09-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alicia Wallen — NPI 1811246655, Fairbanks, AK | NPI Central