Individual
MR. GARY MICHAEL MARLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCII, NCAC I
Contact information
Practice address
717 REZANOF DR E, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Mailing address
717 REZANOF DR E, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
014867
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2433
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH2237
—
AK
Enumeration date
08/19/2013
Last updated
08/19/2013
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