Individual
DOLLIE M JONATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TANACROSS VILLAGE ROAD, TANACROSS, AK 99776-6069
(907) 883-4472
(907) 883-4472
Mailing address
PO BOX 76069, TANACROSS, AK 99776-6069
(907) 883-4472
(907) 883-4472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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