Individual provider · Type 1 NPI

Crystalena Sam

Peer Specialist · Fairbanks, AK

NPI number 1093679896 Active

Practice location

1521 S Cushman St
Fairbanks, AK 99701-6203

Call (907) 452-8251 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1093679896

Crystalena Sam's National Provider Identifier is 1093679896, issued on Dec 15, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairbanks, AK. The record was last updated on Dec 15, 2025.