Individual
DARLA K HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3138
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3138
CDC1
AK
Enumeration date
05/25/2007
Last updated
07/08/2007
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