IndividualActive
Andrean Jimmie
NPI 1508469107 · Addiction (Substance Use Disorder) Counselor · Fairbanks, AK
Provider details
- NPI number
- 1508469107
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
122 1st Ave Ste 600
Fairbanks, AK 99701-4871
Phone: (907) 452-8251
Approximate (ZIP-level) locationGet directions
Mailing address
122 1st Ave Ste 600
Fairbanks, AK 99701-4871
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.