Individual provider · Type 1 NPI

Dylan Michael Desanno

Addiction (Substance Use Disorder) Counselor · Homer, AK

NPI number 1225625684 Active

Practice location

51310 Timber Bay Ct
Homer, AK 99603

Call (907) 235-3250 Map

Fax (907) 235-3251

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Other practice locations

  • 7010 E Bogard Rd, Wasilla, AK 99654-4711 · (907) 373-4732

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 1225625684

Dylan Michael Desanno's National Provider Identifier is 1225625684, issued on Dec 30, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Homer, AK. The record was last updated on Mar 3, 2021.