Heini Kaarina Aho

Individual provider Active NPI Mental Health Counselor · Fairbanks, AK

NPI 1124394606 · NPPES record last updated Mar 28, 2012

Key facts

NPI
1124394606
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3830 S Cushman St
Fairbanks, AK 99701-7530
Phone
(907) 455-5304
Fax
(907) 455-1460
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Mailing address

PO Box 56955
North Pole, AK 99705-1955
Phone (907) 699-6327

Other identifiers

IdentifierTypeStateIssuer
MH0157MedicaidAK

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Mental Health Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.