Individual
JOHN REDLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5594 AISEK STREET, JUNEAU, AK 99801
(907) 780-3048
Mailing address
5597 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-3049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
247200000X
Other Technician
—
—
Other
Enumeration date
08/27/2019
Last updated
11/29/2022
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