Individual
DOUGLAS MARTIN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1271 8TH AVE, METLAKATLA, AK 99926
(907) 886-6911
(907) 886-6917
Mailing address
PO BOX 8, METLAKATLA, AK 99926-0008
(907) 886-6911
(907) 886-6917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
04/19/2022
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