CRYSTALENA SAM
Peer Specialist
Active
Individual
NPI: 1093679896
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1093679896 is the National Provider Identifier for CRYSTALENA SAM, a Peer Specialist provider located in Fairbanks, AK. This NPI was enumerated on December 15, 2025.
CRYSTALENA SAM practices at 1521 S CUSHMAN ST, Fairbanks, AK 99701.
Quick Facts
- NPI
- 1093679896
- Type
- Individual
- Enumerated
- Dec 15, 2025
- Last Updated
- Dec 15, 2025
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