Healthcare Provider Details

I. General information

NPI: 1477961266
Provider Name (Legal Business Name): MR. YOSHIHIRO WILLIAM KARINO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1867 AIRPORT WAY STE 110B
FAIRBANKS AK
99701-4054
US

IV. Provider business mailing address

6238 SAN MATEO DR
COLORADO SPRINGS CO
80911-4007
US

V. Phone/Fax

Practice location:
  • Phone: 907-799-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number222799
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: