person
Jazlene Bonny
Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska
NPI 1285386052

Jazlene Bonny is an Addiction (Substance Use Disorder) Counselor based in Fairbanks, AK and is specialized in Addiction (Substance Use Disorder). Jazlene Bonny practices in Fairbanks, AK. The NPI Number for Jazlene Bonny is 1285386052 and holds a License No. (Alaska).

The current practice location address for Jazlene Bonny is 542 4Th Ave Ste B101, Fairbanks, AK and can be reached out via phone at 907-374-1097.

Location: 542 4Th Ave Ste B101, Fairbanks, AK, 99707-3004
person
Provider Profile Details
NPI Number
1285386052
Provider Name
Jazlene Bonny
Credential
Provider Entity Type
Individual
Gender
Female
Address
542 4Th Ave Ste B101, Fairbanks, AK, 99707-3004
Phone Number
907-374-1097
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1687081 05 AK
institution
Provider Business Practice Location Address Details
Address
542 4Th Ave Ste B101
City
State
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
person
Provider Business Mailing Address Details
Address
542 4Th Ave Ste B101
City
State
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
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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