Susie Katherine Mitkov
Susie Katherine Mitkov is an Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1521 S Cushman StFairbanks, AK 99701-6203
Phone: (907) 452-8251
Fax: (907) 459-3842
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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 | 1669105375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 8, 2022 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
| Mailing address | 1521 S Cushman St, Fairbanks, AK 99701-6203 |
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