Individual provider · Type 1 NPI

Ryan M. Pennington

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1336000306 Active

Practice location

710 3rd Ave
Fairbanks, AK 99701-4455

Call (907) 452-4222 Map

Fax (907) 452-8176

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336000306

Ryan M. Pennington's National Provider Identifier is 1336000306, issued on Nov 19, 2025. 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 Nov 19, 2025.