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ALICIA B. FITZPATRICK CDC I

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1902054257

Individual Registrant:
 ALICIA B. FITZPATRICK CDC I
Gender: F
Sole Proprietor

Location and contact information for practice:
3100 S CUSHMAN ST  FAIRBANKS, AK 99701-7516 US
Tel: 907-452-6251  Fax: 907-456-4849

Contact information for business:
3100 SOUTH CUSHMAN STREET  FAIRBANKS, AK 99701-7516 US
Tel: 907-452-6251  Fax: 907-456-4849

Registration Information:
NPI: 1902054257
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AK101YA0400X

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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