| Jalon Alexander Mccullough, | |
|
542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | |
| (907) 374-1097 | |
| (907) 374-1062 |
| Full Name | Jalon Alexander Mccullough |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 542 4th Ave Ste B-101, Fairbanks, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104438365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jalon Alexander Mccullough, Po Box 73004, Fairbanks, AK 99707-3004 Ph: (907) 374-1097 | Jalon Alexander Mccullough, 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 Ph: (907) 374-1097 |
Ms. Lynn Roberta Harrison, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Industrial, Fairbanks, AK 99701 Phone: 907-479-8450 | |
Mr. Robert Mitchell Rickson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Ms. Pauline Lian, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-1460 | |
Tammy Sue Korb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Susan E Stanton, PLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 University Ave, Fairbanks, AK 99709 Phone: 907-347-2160 | |
John Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Marika Rd, Fairbanks, AK 99709 Phone: 907-474-0890 Fax: 907-474-3621 | |
Danielle Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 5th Ave, Fairbanks, AK 99701 Phone: 907-374-7776 |