Individual provider · Type 1 NPI

Jade Stovall

Addiction (Substance Use Disorder) Counselor · Eagle River, AK

NPI number 1740957802 Active

Practice location

8012 Stewart Mountain Dr
Eagle River, AK 99577-9013

Call (907) 694-8840 Map

Mailing address

2600 Cordova St Ste 101
Anchorage, AK 99503-2745

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740957802

Jade Stovall's National Provider Identifier is 1740957802, issued on Aug 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eagle River, AK. The record was last updated on Aug 26, 2021.