Individual
EYDIE YVONNE FLYGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADM, NCACI, CDCI
Contact information
Practice address
8131 MEDELLIN CIR UNIT A, ANCHORAGE, AK 99507-3270
(907) 602-8644
Mailing address
8131 MEDELLIN CIR UNIT A, ANCHORAGE, AK 99507-3270
(907) 602-8644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2933
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933
—
AK
Enumeration date
02/09/2018
Last updated
02/09/2018
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