Individual
RYAN M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 3RD AVE, FAIRBANKS, AK 99701-4455
(907) 452-4222
(907) 452-8176
Mailing address
710 3RD AVE, FAIRBANKS, AK 99701-4455
(907) 452-4222
(907) 452-8176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
104100000X
Social Worker
—
AK
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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