NPI 1780308288

Ariella Juanita Derrickson

Practitioner Rehabilitation Counselor Fairbanks, AK

Practice location

Address: 1427 Gillam Way, Fairbanks, AK 99701-6043
Phone: (907) 451-6682

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1780308288
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

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.