Individual provider · Type 1 NPI

Jason Brantley

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1689360893 Active

Practice location

215 Cushman St
Fairbanks, AK 99701-4639

Call (907) 328-1566 Map

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004

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 1689360893

Jason Brantley's National Provider Identifier is 1689360893, issued on Apr 12, 2023. 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 Apr 12, 2023.