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Individual

THEODORE COOPER SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FSWC I/COUNSELOR

Contact information

Practice address
MAIN STREET BRISTOL BAY AREA HEALTH CORPORATION, TOGIAK BEHAVIORAL HEALTH PROGRAM, FAMILY RESOURCE BLD., TOGIAK, AK 99678-0409
(907) 493-5637
(907) 493-5184
Mailing address
BRISTOL BAY AREA HEALTH CORPORATION, TOGIAK BEHAVIORAL HEALTH PROGRAM, P.O. BOX 409, TOGIAK, AK 99678-0409
(907) 493-5637
(907) 493-5184

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RHS CERTIFICATION
AK

Other

Enumeration date
11/30/2007
Last updated
11/30/2007
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