Individual provider · Type 1 NPI

Ray J. Dewilde

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1447491758 Active

Practice location

122 1st Ave Ste 600
Fairbanks, AK 99701-4871

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 1447491758

Ray J. Dewilde's National Provider Identifier is 1447491758, issued on Mar 16, 2009. 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 Mar 16, 2009.