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Individual

MS. DEBORAH ANN OTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., C.D.C.I

Contact information

Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-7371
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-7371

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/23/2008
Last updated
01/23/2008
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