Individual
CHIARA BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-9957
(907) 842-3398
Mailing address
PO BOX 1121, DILLINGHAM, AK 99576-1121
(907) 843-3194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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