Individual provider · Type 1 NPI
Lynda Mae Crow
Addiction (Substance Use Disorder) Counselor · Fairbanks, AK
NPI number
1114122629
Active
Practice location
3051 N Van Horn Rd
Fairbanks, AK 99701-7319
Mailing address
660 Wilcox Ave Apt 18, P.o. Box 74601
Fairbanks, AK 99709-3649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2074 (AK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114122629
Lynda Mae Crow's National Provider Identifier is 1114122629, issued on Jun 15, 2007. 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 Jul 8, 2007.