Gunnar Ebbesson in Fairbanks - Addiction (substance Use Disorder)
Gunnar Ebbesson - NPI 1780853457
Gunnar Ebbesson is a Addiction (substance Use Disorder) in Fairbanks, Alaska. Gunnar Ebbesson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gunnar Ebbesson is 1780853457. The last update date is 2011-12-09.
Gunnar Ebbesson's current location address is 315 5th Ave, Fairbanks, Alaska. You can contact this provider via phone number 9073747776 and fax number 8009881650. The mailing address for Gunnar Ebbesson is 315 5th Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gunnar Ebbesson |
|---|---|
| Address | 315 5th Ave, Fairbanks, Alaska |
| Phone Number | 9073747776 |
| Fax Number | 8009881650 |
| Sole Proprietor | Y |
| Credentials | LPC MAC |
NPI Number Detail
| NPI Number | 1780853457 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2011-12-09 |
Provider Mailing Address Detail
| Address | 315 5th Ave |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997015025 |
| Phone Number | 9073747776 |
| Fax Number | 8009881650 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 503051 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Gunnar Ebbesson?
The Gunnar Ebbesson has been issued the NPI (National Provider Identifier) 1780853457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Gunnar Ebbesson's physical address?
The Gunnar Ebbesson is physically located at 315 5Th Ave, in the city of Fairbanks, AK, with the postal code 997015025.
What is Gunnar Ebbesson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gunnar Ebbesson is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did Gunnar Ebbesson receive its 1780853457 assignment from the Centers for Medicare & Medicaid Services?
The Gunnar Ebbesson was assigned its 1780853457 on 2008-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gunnar Ebbesson's details last updated?
The information pertaining to the Gunnar Ebbesson, including its address, specialty, and other details, was most recently updated on 2011-12-09.
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