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Contact Information

RITA M ELLINGTON, PSY.D., CDCS, ADMN
3100 S CUSHMAN ST
FAIRBANKS, AK99701-7516
 Phone: 907-452-6251
 Fax: 907-456-4849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RITA M ELLINGTON · (Female)

NPI # 1952529679
Status Active
Credentials PSY.D., CDCS, ADMN
Entity Individual
Enumeration date 04/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # CDCS 2376
  • AK Other 2376 ALASKA CDCS CERTIFICATION
  • AK Other 1116 ST ALASKA ADMIN CERT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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