Individual provider · Type 1 NPI

John Gerald Mayo

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1447801857 Active

Practice location

122 1st Ave
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 1447801857

John Gerald Mayo's National Provider Identifier is 1447801857, issued on Sep 26, 2019. 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 Sep 26, 2019.