person
Jalon Alexander Mccullough
Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska
NPI 1104438365

Jalon Alexander Mccullough is an Addiction (Substance Use Disorder) Counselor based in Fairbanks, AK and is specialized in Addiction (Substance Use Disorder). Jalon Alexander Mccullough practices in Fairbanks, AK. The NPI Number for Jalon Alexander Mccullough is 1104438365 and holds a License No. (Alaska).

The current practice location address for Jalon Alexander Mccullough is 542 4Th Ave Ste B-101, Fairbanks, AK and can be reached out via phone at 907-374-1097 and via fax at 907-374-1062.

Location: 542 4Th Ave Ste B-101, Fairbanks, AK, 99707-3004
person
Provider Profile Details
NPI Number
1104438365
Provider Name
Jalon Alexander Mccullough
Credential
Provider Entity Type
Individual
Gender
Male
Address
542 4Th Ave Ste B-101, Fairbanks, AK, 99707-3004
Phone Number
907-374-1097
Fax Number
907-374-1062
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
542 4Th Ave Ste B-101
City
State
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
907-374-1062
person
Provider Business Mailing Address Details
Address
542 4Th Ave Ste B-101
City
State
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
907-374-1062
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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