IndividualActive
Amos Banham
NPI 1033877873 · Addiction (Substance Use Disorder) Counselor · Palmer, AK
Provider details
- NPI number
- 1033877873
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
950 S Snodgrass Dr
Palmer, AK 99645-9750
Phone: (907) 373-4732
Fax: (907) 746-4749
Mailing address
Po Box 876741
Wasilla, AK 99687-6741
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.