Individual provider · Type 1 NPI
John W. Pendrey Iv, CDCII, NCAC1
Addiction (Substance Use Disorder) Counselor · Anchorage, AK
NPI number
1164516597
Active
Practice location
3001 C Street, Department Of Veterans Affairs Domiciliary
Anchorage, AK 99503
Fax (907) 273-4085
Mailing address
2620 Monmouth Avenue
Anchorage, AK 99502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2212 (AK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164516597
John W. Pendrey Iv, CDCII, NCAC1's National Provider Identifier is 1164516597, issued on Oct 2, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anchorage, AK. The record was last updated on Jul 8, 2007.