NPI 1093385239 · live from the CMS NPI Registry
Adam Abdallah
Counselor, Addiction (Substance Use Disorder) in Eagle River, AK. National Provider Identifier 1093385239, active.
NPI record
| NPI | 1093385239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 8012 Stewart Mountain Dr, Eagle River, AK 99577 |
| Practice phone | 907-694-8840 |
| Mailing address | 2600 Cordova St Ste 101, Anchorage, AK 99503 |
| Enumerated | June 29, 2021 |
| Last updated | June 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.