Jack Creswell III
Jack Creswell III is a Community/Behavioral Health Agency in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2550 Lawlor RdFairbanks, AK 99709-6458
Phone: (907) 452-0800
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1720964554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2025 |
| Last updated in NPPES | August 15, 2025 |
| Certification date | August 15, 2025 |
| Mailing address | 797 Juniper Dr Apt E, Fairbanks, AK 99712-2764 |
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