Individual
ELMER EUGENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 CITYVIEW AVE, HOMER, AK 99603-7017
(970) 261-8244
Mailing address
184 CITYVIEW AVE, HOMER, AK 99603-7017
(970) 261-8244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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