D'Angelo Belton

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI 1942903489 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1942903489
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
215 Cushman St
Fairbanks, AK 99701-4639
Phone
(907) 374-1097
NPI assigned
Mar 23, 2023
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

215 Cushman St
Fairbanks, AK 99701-4639

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004
Phone (907) 374-1097

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Addiction (Substance Use Disorder) Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.