Individual provider · Type 1 NPI

Amos Banham

Addiction (Substance Use Disorder) Counselor · Palmer, AK

NPI number 1033877873 Active

Practice location

950 S Snodgrass Dr
Palmer, AK 99645-9750

Call (907) 373-4732 Map

Fax (907) 746-4749

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033877873

Amos Banham's National Provider Identifier is 1033877873, issued on Nov 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palmer, AK. The record was last updated on Aug 16, 2024.