Individual
MR. STEVEN KETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMP COUNSELOR
Contact information
Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 452-8251
Mailing address
PO BOX 145, NENANA, AK 99760-0145
(907) 590-0280
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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