Individual
JESSICA DAWN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC1
Contact information
Practice address
748 GAFFNEY RD STE 203, FAIRBANKS, AK 99701-4647
(907) 452-6251
Mailing address
748 GAFFNEY RD STE 203, FAIRBANKS, AK 99701-4647
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5252
AK
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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