Individual
MS. JILL MARIE SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
302 RAILWAY AVE, SEWARD, AK 99664
(907) 224-5257
Mailing address
PO BOX 3271, SEWARD, AK 99664-3271
(907) 224-5172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3241
AK
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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