Individual
DOROTHY LOAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 EVERGREEN ST, FAIRBANKS, AK 99709-4306
(907) 451-8164
(907) 451-0273
Mailing address
1027 EVERGREEN ST, FAIRBANKS, AK 99709-4306
(907) 451-8164
(907) 451-0273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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