Doctor Name: | GEORGE ROY KIRCHNER |
NPI Number: | 1780721001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC, NCC |
License Number: | 66 |
Business Practice Address: | 626 2nd St Ste 201a Fairbanks, AK - 997013466 |
Business Phone Number: | 9073289073 |
Business Fax Number: | 9072389074 |
Mailing Address: | 3090 Chena Hot Springs Road, FAIRBANKS |
State: | AK |
Postal Code: | 99712 |
Phone Number: | 9075900931 |
Fax Number: | 9072389074 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 66 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |