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ALICIA B. FITZPATRICK CDC I
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1902054257
Individual Registrant: ALICIA B. FITZPATRICK CDC I
Gender: F
Sole Proprietor
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
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
Tel: 907-452-6251 Fax: 907-456-4849
Registration Information:
NPI: 1902054257
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | AK | 101YA0400X |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
