Individual
LINDA WILLIAMS DEMIENTIEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 452-8251
(907) 459-3810
Mailing address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 452-8251
(907) 459-3810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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