| Doctor Name: | MS. JILL MARIE SUTPHIN |
| NPI Number: | 1295944510 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CT |
| License Number: | 3241 |
| Business Practice Address: | 302 Railway Ave Seward, AK - 99664 |
| Business Phone Number: | 9072245257 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3271, SEWARD |
| State: | AK |
| Postal Code: | 996643271 |
| Phone Number: | 9072245172 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |