Individual
MR. KENNETH STEPHEN TERPSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 842-5266
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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