Individual provider · Type 1 NPI

Vienetta Lelyukh

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1194567065 Active

Practice location

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

Mailing address

542 4th Ave
Fairbanks, AK 99701-4707

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 1194567065

Vienetta Lelyukh's National Provider Identifier is 1194567065, issued on Jun 11, 2024. 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 Jun 11, 2024.