Adam Abdallah
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eagle River, AK
NPI 1093385239 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1093385239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 8012 Stewart Mountain Dr
Eagle River, AK 99577-9013 - Phone
- (907) 694-8840
- NPI assigned
- Jun 29, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Mailing address
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640
Other practice location 1
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640
Other providers in Eagle River, AK
- 1918 Winter Street Operating Co LLC
- A Lil Bit of Sunshine
- A Safe Harbor Counseling Services
- Dennis Abarr
- Acute Family Medicine Clinic Inc
- Tiffany G Adkins
- Kelly Adrian
- Advanced Telepsychiatry of Alaska LLC
- Alondra Aguirre
All providers in Eagle River, 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 Jun 29, 2021. 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.