Individual
CHARLOTTE MORTHORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 746-4748
Mailing address
24415 WILMA CIR, EAGLE RIVER, AK 99577-9680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2021
Last updated
10/20/2022
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