Individual
MR. NATHAN EARL DEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 830-2386
Mailing address
6954 METEOR CT, ANCHORAGE, AK 99504-4556
(907) 830-2386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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