Individual provider · Type 1 NPI

Danielle Pendergrass

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1073480307 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Other practice locations

  • 850 S Snodgrass Dr, Palmer, AK 99645-9149 · (907) 373-4732

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1073480307

Danielle Pendergrass's National Provider Identifier is 1073480307, issued on Oct 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Oct 21, 2025.