Individual
NANCY JOAN CLODFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, L.P.C
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, MEDICAL STAFF OFFICE, DILLINGHAM, AK 99576-0130
(907) 842-9218
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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