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Contact Information

WADE M FALCONBURG, LCSW, MAC, PACT
PO BOX 61416
FAIRBANKS, AK99706-1416
 Phone: 208-577-1015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for WADE M FALCONBURG · (Male)

NPI # 1891994307
Status Active
Credentials LCSW, MAC, PACT
Entity Individual
Enumeration date 07/13/2007
Last updated 01/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 223202
  • ID License # 28335
  • ID License # ACADC-90
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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