Provider Demographics
NPI:1902052459
Name:GEORGE R. KIRCHNER & RURAL COMMUNITY CONSULTANTS LLC
Entity Type:Organization
Organization Name:GEORGE R. KIRCHNER & RURAL COMMUNITY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:KIRCHNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, LPC NCC
Authorized Official - Phone:907-590-0931
Mailing Address - Street 1:PO BOX 10671
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99710-0671
Mailing Address - Country:US
Mailing Address - Phone:907-590-0931
Mailing Address - Fax:907-328-9074
Practice Address - Street 1:626 2ND ST STE 201A
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3466
Practice Address - Country:US
Practice Address - Phone:907-590-0931
Practice Address - Fax:907-328-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK66101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty