Jalon Alexander McCullough
Jalon Alexander McCullough is an Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
542 4th Ave Ste B-101Fairbanks, AK 99701-4707
Phone: (907) 374-1097
Fax: (907) 374-1062
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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 number | 1104438365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 19, 2020 |
| Last updated in NPPES | August 19, 2020 |
| Certification date | August 19, 2020 |
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542 4th Ave Ste B101, Fairbanks, AK 99701-4707 · (907) 374-1097
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