| Sunny Denyaavee Center | |
|
59 College Rd Suite 213 Fairbanks AK 99701-1702 | |
| (907) 455-4611 | |
| (907) 374-8303 |
| Full Name | Sunny Denyaavee Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 59 College Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Audrey Sunnyboy (OWNER PRESIDENT) |
| Authorized Official Contact | 9074554611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Denyaavee Center 59 College Rd Suite 213 Fairbanks AK 99701-1702 Ph: (907) 455-4611 | Sunny Denyaavee Center 59 College Rd Suite 213 Fairbanks AK 99701-1702 Ph: (907) 455-4611 |
| NPI Number | 1942364997 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942364997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 712170 (Alaska) | Primary |
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