Individual
GLORIA A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC 1
Contact information
Practice address
712 OCEAN CAPE RD, YAKUTAT, AK 99689
(907) 784-3275
(907) 784-3263
Mailing address
PO BOX 112, YAKUTAT, AK 99689-0112
(907) 784-3275
(907) 784-3263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4226
AK
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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