Individual
MR. JOHN W PENDREY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCII, NCAC1
Contact information
Practice address
3001 C STREET, DEPARTMENT OF VETERANS AFFAIRS DOMICILIARY, ANCHORAGE, AK 99503
(907) 273-4000
(907) 273-4085
Mailing address
2620 MONMOUTH AVENUE, ANCHORAGE, AK 99502
(907) 273-4088
(907) 273-4085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2212
AK
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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