Individual
RAFAEL BULTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC1
Contact information
Practice address
3001 C ST, ANCHORAGE, AK 99503-3913
(907) 273-4080
(907) 273-4005
Mailing address
3001 C ST, ANCHORAGE, AK 99503-3913
(907) 273-4080
(907) 273-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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