NPI 1609179399 · live from the CMS NPI Registry
Kelly Andaloro, CDCII
Counselor, Addiction (Substance Use Disorder) in Fairbanks, AK. National Provider Identifier 1609179399, active.
NPI record
| NPI | 1609179399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 3504 Industrial Ave, Suite 220, Fairbanks, AK 99701 |
| Practice phone | 907-388-3221 |
| Enumerated | December 17, 2010 |
| Last updated | January 5, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 2139 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.