JOSEPH HARLEY DAVIDSON
NPI 1457904922
Counselor - Mental Health in Fairbanks, AK
Active since July 23, 2019
About Joseph Harley Davidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH HARLEY DAVIDSON (NPI 1457904922) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1457904922
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPH HARLEY DAVIDSON
Location Address3101 LATHROP STFairbanks, AK 99701-7426
Mailing Address3101 Lathrop StFairbanks, AK 99701-7426
Phone(907) 459-4700
Sole ProprietorYes
Enumeration DateJuly 23, 2019
✔ NPI 1457904922 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3101 LATHROP ST, Fairbanks, AK 99701
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3101 LATHROP ST
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3101 LATHROP ST
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Community Based Residential Treatment Facility, Mental Illness
3101 LATHROP ST
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3101 LATHROP ST
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457904922, enumerated as an "individual" on July 23, 2019.
The provider is located at 3101 LATHROP ST FAIRBANKS, AK 99701 and the phone number is (907) 459-4700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.