Individual
ANGELIKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 UNIVERSITY AVE S, FAIRBANKS, AK 99709-4903
(907) 347-7799
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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