Individual
MR. ERIC SCHAETZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.T.
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
Mailing address
PO BOX 82848, FAIRBANKS, AK 99708-2848
(907) 479-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERTIFICATE 3226
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4437
—
AK
Enumeration date
05/31/2007
Last updated
07/09/2007
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