Josephine Samantha Allen
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairbanks, AK
NPI 1639940596 · NPPES record last updated Jan 10, 2024
Key facts
- NPI
- 1639940596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 542 4TH Ave Ste B101
Fairbanks, AK 99701-4707 - Phone
- (907) 374-1097
- NPI assigned
- Jan 10, 2024
- 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
542 4TH Ave Ste B101
Fairbanks, AK 99701-4707
Mailing address
PO Box 73004
Fairbanks, AK 99707-3004
Other providers in Fairbanks, AK
- Angela Allen
- Angela Renae Allen
- Debra Denise Allen
- Ethan Allen
- George Allen
- Madonna Allen
- Michael Steven Allen
- Sarah Alli
- Hayley M Allison
- Elaine Marie Aloysius-Vatter
All providers in Fairbanks, 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 Jan 10, 2024. 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.