Individual
MARINA KOONOOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-T
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762-0966
(907) 985-5110
Mailing address
PO BOX 190, 190 BOWHEAD WAY, GAMBELL, AK 99742-0190
(907) 985-5012
(907) 985-5085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
02/21/2017
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