Individual
KATY M FERRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCI
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
Mailing address
1357 LESLIE ST, NORTH POLE, AK 99705-5810
(907) 488-6635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERTFICATE #3126
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4437
—
AK
Enumeration date
06/13/2007
Last updated
07/09/2007
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