AUSTIN DIDRICKSON

EAGLE RIVER, AK
NPI1053189365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-15
Last Update Date2023-12-15
Business Address
AUSTIN DIDRICKSON
8012 STEWART MOUNTAIN DR
EAGLE RIVER, AK 99577-9013
Phone number: 907-694-3336
Mailing Address
AUSTIN DIDRICKSON
2600 CORDOVA ST STE 101
ANCHORAGE, AK 99503-2745
Phone number: 907-279-9640