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Kennita Williams

Counselor, Addiction (Substance Use Disorder) in Fairbanks, AK. Individual provider (NPI-1).

NPI number1033744362
StatusActive
Last updated in NPPESMar 6, 2020

Details

NPI
1033744362
Entity type
Individual (NPI-1)
Name
Kennita Williams
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2020
Certification date
Mar 6, 2020
Last updated
Mar 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

542 4th Ave # B101
Fairbanks, AK 99701-4707

Phone 907-750-9589 · Fax 907-374-1062

Mailing address

542 4th Ave # B101
Fairbanks, AK 99701-4707

Phone 907-750-9589

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