Individual
MR. BENITO ARTILLERO ACHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC1
Contact information
Practice address
717 E REZANOF DR, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Mailing address
201 KASHEVAROFF AVE APT 206, KODIAK, AK 99615-6385
(907) 486-3172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2266
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH2237
—
AK
Enumeration date
08/02/2013
Last updated
08/02/2013
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