National Provider Identifier
Susie Katherine Mitkov
Susie Katherine Mitkov is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Fairbanks, AK and a listed phone number of (907) 452-8251.
Source: public NPPES record, last updated July 08, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669105375
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 08, 2022
- Last Updated
- July 08, 2022
Practice Location
- 1521 S Cushman St
- Fairbanks, AK 99701-6203
Phone: (907) 452-8251
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Browse Similar Providers
See more providers in the Counselor classification in Fairbanks, AK.
Open Counselor providers in Fairbanks, AK
Open the exact Addiction (Substance Use Disorder) specialty directory in Fairbanks, AK
Biography
Susie Katherine Mitkov is a Fairbanks-based addiction counselor whose federal provider record lists a Tanana Chiefs Conference contact. TCC’s Behavioral Health program serves Interior Alaska and includes substance-use treatment, rural telehealth services, and behavioral health aide support across the region.
Full Record
- NPI
- 1669105375
- Entity Type
- Individual
- Last Name
- Mitkov
- First Name
- Susie
- Middle Name
- Katherine
- Provider Other Last Name
- Burris
- Provider Other First Name
- Susie
- Provider Other Middle Name
- Katherine
- Provider Other Credential Text
- N/A
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1521 S Cushman St
- Mailing City
- Fairbanks
- Mailing State
- AK
- Mailing ZIP Code
- 99701-6203
- Mailing Country
- US
- Mailing Phone
- (907) 452-8251
- Mailing Fax
- (907) 459-3842
- Practice Street Address
- 1521 S Cushman St
- Practice City
- Fairbanks
- Practice State
- AK
- Practice ZIP Code
- 99701-6203
- Practice Country
- US
- Practice Phone
- (907) 452-8251
- Practice Fax
- (907) 459-3842
- Enumeration Date
- July 08, 2022
- Last Updated
- July 08, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 08, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 5191621 (AK, Driver'S License)