Individual
LUKE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 FIRST AVENUE, SUITE 600, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3835
Mailing address
122 FIRST AVENUE, SUITE 600, MINTO, AK 99701
(907) 452-8251
(907) 459-3835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
DA4380
AK
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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