Organization Name: | RACHEL A KACSUR LCSW |
NPI Number: | 1033279351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL A KACSUR (OWNER PRESIDENT) |
Mailing Address: | 535 2nd Ave Suite 207b Fairbanks |
State: | AK US |
Postal Code: | 997014728 |
Phone Number: | 9074550250 |
Fax Number: | 9074550250 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |