Individual
VERONICA D. ACOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
11-1119-III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA III
11-1119-III
AK
Enumeration date
11/23/2011
Last updated
11/07/2022
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