Jared Michael Anderson

NPI #1295389120 in Fairbanks, Alaska

Provider Information

NPI Number
1295389120
Entity Type
Individual
Name
Jared Michael Anderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jul 29, 2019
Last Updated
Jul 29, 2019

Practice Location

Address
3101 LATHROP ST
State
Alaska
ZIP Code
99701-7426
Phone
(907) 459-4700

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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