Individual
MS. EVELYN LOUISE CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, CDCII
Contact information
Practice address
44539 STERLING HWY, SUITE 105, SOLDOTNA, AK 99669-7938
(907) 262-5324
(907) 260-7464
Mailing address
PO BOX 1015, SOLDOTNA, AK 99669-1015
(907) 262-5324
(907) 260-7464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1091
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
668
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4248
—
AK
Enumeration date
02/13/2006
Last updated
06/08/2010
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