Individual provider · Type 1 NPI

Kayla Alexis Leu Clark

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1093439481 Active

Practice location

1521 S Cushman St
Fairbanks, AK 99701-6203

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 1093439481

Kayla Alexis Leu Clark's National Provider Identifier is 1093439481, issued on Sep 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairbanks, AK. The record was last updated on Sep 28, 2022.