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

Mr. Jimmy Spears, CDCI

Individual provider Children's Substance Abuse Rehabilitation Facility · NPI 1669681599

Mr. Jimmy Spears, CDCI is a Children's Substance Abuse Rehabilitation Facility in Fairbanks, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2007

Practice location Address checks out

1027 Evergreen St
Fairbanks, AK 99709-4306
Phone: (907) 451-8164
Show map & directions

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

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X · Licence 3323 (AK)

Record details

NPI number1669681599
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCI
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007

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