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Individual

MS. JESSICA LYNN CRAIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
Mailing address
2655 19TH AVE, APT. B, FAIRBANKS, AK 99709-5204
(907) 378-0425

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0157
AK
Enumeration date
07/09/2010
Last updated
07/09/2010
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