Individual provider · Type 1 NPI

Staysha Kelly

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1184277808 Active

Practice location

542 4th Ave Ste B101
Fairbanks, AK 99701-4707

Call (907) 750-9589 Map

Fax (907) 374-1062

Mailing address

1022 Akiak Ave
Fairbanks, AK 99701-1417

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 1184277808

Staysha Kelly's National Provider Identifier is 1184277808, issued on Jul 22, 2019. 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 22, 2019.