Individual provider · Type 1 NPI
Steven Ketzler, CAMP COUNSELOR
Substance Abuse Rehabilitation Facility · Fairbanks, AK
NPI number
1275897548
Active
Practice location
122 1st Ave, Suite 600
Fairbanks, AK 99701-4803
Mailing address
PO Box 145
Nenana, AK 99760-0145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1275897548
Steven Ketzler, CAMP COUNSELOR's National Provider Identifier is 1275897548, issued on Jul 1, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 1, 2012.