Individual
CLARENCE PEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9203
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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