Individual
AUDREY SUNNYBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRAD COUNSELOR
Contact information
Practice address
59 COLLEGE RD, SUITE 213, FAIRBANKS, AK 99701-1702
(907) 455-4611
(907) 374-8303
Mailing address
59 COLLEGE RD, SUITE 213, FAIRBANKS, AK 99701-1702
(907) 455-4611
(907) 374-8303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2357
AK
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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