Individual provider · Type 1 NPI

Susie Katherine Mitkov

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1669105375 Active

Practice location

1521 S Cushman St
Fairbanks, AK 99701-6203

Call (907) 452-8251 Map

Fax (907) 459-3842

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 1669105375

Susie Katherine Mitkov's National Provider Identifier is 1669105375, issued on Jul 8, 2022. 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 8, 2022.