Stewart Daffron
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Homer, AK
NPI 1053939868 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1053939868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 51310 Timber Bay Court
Homer, AK 99603 - Phone
- (907) 235-4732
- NPI assigned
- Jul 8, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
51310 Timber Bay Court
Homer, AK 99603
Mailing address
PO Box 876741
Wasilla, AK 99687-6741
Other providers in Homer, AK
- Cook Inlet Council on Alcohol and Drug Abuse
- Christina Cooper
- Sharron Cotogno
- Patricia Louise Cue
- Jessica Daffron
- Susanne Caroline Daley
- Tess Dally
- Kyla Dammann
- Christine Danahey
- Mary Darbonne
All providers in Homer, AK · Addiction (Substance Use Disorder) Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.