Individual
MR. DARRICK FULLWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 DEBARR RD, ANCHORAGE, AK 99508-3103
(907) 222-7300
Mailing address
8310 KRONOS DR # 1, ANCHORAGE, AK 99502-7251
(907) 885-5958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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