Individual
DEBRA MARY DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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