Individual
KATINA BETH SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 ASPEN ST, FAIRBANKS, AK 99709-5501
(907) 371-1300
Mailing address
926 ASPEN ST, FAIRBANKS, AK 99709-5501
(907) 371-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
02/11/2025
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