person
Theodore Wyatt Mole, LPC
Professional Counselor in Soldotna, Alaska
NPI 1952676314

Theodore Wyatt Mole is a Professional Counselor based in Soldotna, AK and is specialized in Professional. Theodore Wyatt Mole practices in Soldotna, AK and has the professional credentials of LPC. The NPI Number for Theodore Wyatt Mole is 1952676314 and holds a License No. 736 (Alaska).

The current practice location address for Theodore Wyatt Mole is 35037 Royal Pl, Soldotna, AK and can be reached out via phone at 907-260-7423.

Location: 35037 Royal Pl, Soldotna, AK, 99669-9437
person
Provider Profile Details
NPI Number
1952676314
Provider Name
Theodore Wyatt Mole
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
35037 Royal Pl, Soldotna, AK, 99669-9437
Phone Number
907-260-7423
Fax Number
Provider Enumeration Date
03/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35037 Royal Pl
City
State
Zip
99669-9755
Phone Number
907-260-7423
Fax Number
person
Provider Business Mailing Address Details
Address
35037 Royal Pl
City
State
Zip
99669-9755
Phone Number
907-260-7423
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
736 (Alaska)
Definition
Definition to come...
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