Individual
JESSICA DAFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 OCEAN DRIVE SUITE A, HOMER, AK 99603
(907) 235-4733
Mailing address
1130 OCEAN DR STE A, HOMER, AK 99603-7946
(907) 235-3250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020987
—
AK
Enumeration date
02/10/2021
Last updated
08/02/2024
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