Individual
KARA TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 DIVISION ST, NOME, AK 99762
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
04/05/2021
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