Individual provider · Type 1 NPI

Debra Mary Delong, MA

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1508419045 Active

Practice location

3100 S Cushman St
Fairbanks, AK 99701-7516

Mailing address

315 Wendell Ave
Fairbanks, AK 99701-4837

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 1508419045

Debra Mary Delong, MA's National Provider Identifier is 1508419045, issued on Jul 23, 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 Jul 23, 2019.