Jared Michael Anderson
Jared Michael Anderson is an Emotionally Disturbed Childrens' Residential Treatment Facility in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 459-4700
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1295389120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2019 |
| Last updated in NPPES | July 29, 2019 |
| Mailing address | 2252 Arlene Dr, Fairbanks, AK 99705-7560 |
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