Individual
DOROTHY ELLA BEKOALOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 FIRST AVENUE, SUITE 600, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3835
Mailing address
122 FIRST AVENUE, SUITE 600, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
DA4380
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4380
—
AK
Enumeration date
05/18/2007
Last updated
07/09/2007
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