person
Mr. Elmer Waller
Addiction (Substance Use Disorder) Counselor in Kotzebue, Alaska
NPI 1013152800

Elmer Waller is an Addiction (Substance Use Disorder) Counselor based in Kotzebue, AK and is specialized in Addiction (Substance Use Disorder). Elmer Waller practices in Kotzebue, AK. The NPI Number for Elmer Waller is 1013152800 and holds a License No. (Alaska).

The current practice location address for Elmer Waller is 436 5Th Street Ted Stevens Way, Kotzebue, AK and can be reached out via phone at 907-442-7640 and via fax at 907-442-7822.

Location: 436 5Th Street Ted Stevens Way, Kotzebue, AK, 99752
person
Provider Profile Details
NPI Number
1013152800
Provider Name
Elmer Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
436 5Th Street Ted Stevens Way, Kotzebue, AK, 99752
Phone Number
907-442-7640
Fax Number
907-442-7822
Provider Enumeration Date
12/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
436 5Th Street Ted Stevens Way
City
State
Zip
99752
Phone Number
907-442-7640
Fax Number
907-442-7822
person
Provider Business Mailing Address Details
Address
436 5Th Street Ted Stevens Way
City
State
Zip
99752
Phone Number
907-442-7640
Fax Number
907-442-7822
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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