Individual
GREGORY CHARLES ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 459-3800
(907) 459-3835
Mailing address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 459-3800
(907) 459-3835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4380
—
AK
Enumeration date
12/13/2007
Last updated
12/19/2022
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