Jalon Alexander Mccullough, - Counselor in Fairbanks, AK

Jalon Alexander Mccullough, is a Counselor - Addiction (substance Use Disorder) based in Fairbanks, Alaska. Jalon Alexander Mccullough is licensed to practice in * (Not Available) (license number ) and his current practice location is 542 4th Ave Ste B-101, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 374-1097.

NPI number for Jalon Alexander Mccullough is 1104438365 and his current mailing address is Po Box 73004, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104438365.

Contact Information

Jalon Alexander Mccullough,
542 4th Ave Ste B-101,
Fairbanks, AK 99701-4707
(907) 374-1097
(907) 374-1062

Map and Direction


Healthcare Provider's Profile

Full NameJalon Alexander Mccullough
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location542 4th Ave Ste B-101, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104438365
  • Provider Enumeration Date: 08/19/2020
  • Last Update Date: 08/19/2020

Medical Identifiers

Medical identifiers for Jalon Alexander Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104438365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalon Alexander Mccullough is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jalon Alexander Mccullough,
Po Box 73004,
Fairbanks, AK 99707-3004

Ph: (907) 374-1097
Jalon Alexander Mccullough,
542 4th Ave Ste B-101,
Fairbanks, AK 99701-4707

Ph: (907) 374-1097

Reviews and Comments


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