person
Mrs. Kathleen Ketzler Demientieff, TC,CDC1
Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska
NPI 1215187505

Kathleen Ketzler Demientieff is an Addiction (Substance Use Disorder) Counselor based in Fairbanks, AK and is specialized in Addiction (Substance Use Disorder). Kathleen Ketzler Demientieff practices in Fairbanks, AK and has the professional credentials of TC,CDC1. The NPI Number for Kathleen Ketzler Demientieff is 1215187505 and holds a License No. 3432 (Alaska).

The current practice location address for Kathleen Ketzler Demientieff is 1027 Evergreen St, Fairbanks, AK and can be reached out via phone at 907-451-8164.

Location: 1027 Evergreen St, Fairbanks, AK, 99709-4306
person
Provider Profile Details
NPI Number
1215187505
Provider Name
Kathleen Ketzler Demientieff
Credential
TC,CDC1
Provider Entity Type
Individual
Gender
Female
Address
1027 Evergreen St, Fairbanks, AK, 99709-4306
Phone Number
907-451-8164
Fax Number
Provider Enumeration Date
09/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 Evergreen St
City
State
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
person
Provider Business Mailing Address Details
Address
1027 Evergreen St
City
State
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3432 (Alaska)
Definition
Definition to come...
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