Individual
MR. BRYAN ARTHUR SHORES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CDC-I
Contact information
Practice address
733 3RD, FERGUSON BUILDING, KOTZEBUE, AK 99752
(907) 442-7640
(907) 442-7749
Mailing address
5808 CORDOVA ST, APT. #2, ANCHORAGE, AK 99518-1355
(907) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/31/2006
Last updated
11/20/2014
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