NPI 1639940596 · live from the CMS NPI Registry
Josephine Samantha Allen
Counselor, Addiction (Substance Use Disorder) in Fairbanks, AK. National Provider Identifier 1639940596, active.
NPI record
| NPI | 1639940596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 542 4th Ave Ste B101, Fairbanks, AK 99701 |
| Practice phone | 907-374-1097 |
| Mailing address | Po Box 73004, Fairbanks, AK 99707 |
| Enumerated | January 10, 2024 |
| Last updated | January 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.