Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cornelius Lee Mingo Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134711708

Cornelius Lee Mingo Jr. is an Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

542 4th Ave Ste B101
Fairbanks, AK 99701-4707
Phone: (907) 374-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1134711708
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing addressPo Box 73004, Fairbanks, AK 99707-3004

Other providers in Fairbanks