Individual
ISAAC SMOLDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
MY HOUSE YOUTH DROP-IN CENTER, 300 N. WILLOW ST., WASILLA, AK 99654
(907) 947-9759
Mailing address
MY HOUSE YOUTH DROP-IN CENTER, 300 N. WILLOW STREET, WASILLA, AK 99654
(907) 947-9759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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