Individual
MANIKA RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 S SNODGRASS DR, WASILLA, AK 99654-8062
(907) 521-5280
Mailing address
290 S SNODGRASS DR, WASILLA, AK 99654-8062
(907) 521-5280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/10/2023
Last updated
04/12/2024
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