IndividualActive
Madeline Derepentigny
NPI 1154973212 · Counselor · Fairbanks, AK
Madeline Derepentigny is a Counselor provider in Fairbanks, AK (NPI 1154973212).
Provider details
- NPI number
- 1154973212
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
2550 Lawlor Rd
Fairbanks, AK 99709-6458
Phone: (907) 455-4725
Street-level locationGet directions
Mailing address
2550 Lawlor Rd
Fairbanks, AK 99709-6458
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2019-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.