NPI 1275897548

Steven Ketzler, CAMPCOUNSELOR

Practitioner Substance Abuse Rehabilitation Facility Fairbanks, AK

Practice location

Address: 122 1st Ave Suite 600, Fairbanks, AK 99701-4803
Phone: (907) 452-8251
Mailing address: PO Box 145, Nenana, AK 99760-0145

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Registry record

NPI: 1275897548
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2012
Record last updated: 1 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.