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Individual

MR. JOHN MILLER BILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.R.E.

Contact information

Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
(907) 455-1460
Mailing address
1620 WASHINGTON DR APT 105, FAIRBANKS, AK 99709-5017
(907) 374-8390

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0157
AK
Enumeration date
08/27/2010
Last updated
02/22/2012
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