Amber Renee Beasley
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Anchorage, AK
NPI 1639735988 · NPPES record last updated May 13, 2019
Key facts
- NPI
- 1639735988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4130 San Ernesto Ave
Anchorage, AK 99508-2875 - Phone
- (907) 729-5079
- NPI assigned
- May 13, 2019
- Sex
- Female
- 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
4130 San Ernesto Ave
Anchorage, AK 99508-2875
Mailing address
4130 San Ernesto Ave
Anchorage, AK 99508-2875
Phone (907) 729-5079
Other providers in Anchorage, AK
- Joseph Ranalder Beard IV
- Samantha Wilson Beard
- Joshua Bradly Bearden
- April Beardslee
- Matthew Ellison Beardsley
- Jennifer Beathe
- Sandra Beattie
- Krystal Beatty
- Brenda L Beaty
- Savannah Beaty
All providers in Anchorage, 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 May 13, 2019. 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.