Individual
BRANDY JEAN ELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MA
Contact information
Practice address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 450-3400
Mailing address
PO BOX 56413, NORTH POLE, AK 99705-1413
(907) 687-0451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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