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Anthony William Brotzge
Peer Specialist in Wasilla, Alaska
NPI 1205561370

Anthony William Brotzge is a Peer Specialist based in Wasilla, AK. Anthony William Brotzge practices in Wasilla, AK. The NPI Number for Anthony William Brotzge is 1205561370 and holds a License No. (Alaska).

The current practice location address for Anthony William Brotzge is 591 S Knik Goose Bay Rd, Wasilla, AK and can be reached out via phone at 907-313-1333. You can also correspond with Anthony William Brotzge through the mailing address at 591 S KNIK GOOSE BAY RD, WASILLA, AK - 99654-8062 (mailing address contact number: 907-313-1333).

Location: 591 S Knik Goose Bay Rd, Wasilla, AK, 99654-8062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205561370
Provider Name
Anthony William Brotzge
Credential
Provider Entity Type
Individual
Gender
Male
Address
591 S Knik Goose Bay Rd, Wasilla, AK, 99654-8062
Phone Number
907-313-1333
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
591 S Knik Goose Bay Rd
City
Wasilla
State
Alaska
Zip
99654-8062
Phone Number
907-313-1333
Fax Number
person
Provider Business Mailing Address Details
Address
591 S Knik Goose Bay Rd
City
Wasilla
State
Alaska
Zip
99654-8062
Phone Number
907-313-1333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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