Individual
ALFRED ULROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
TRIBAL OFFICE, CLINIC, CHEVAK, AK 99563
(907) 858-7267
(907) 858-7027
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4442
—
AK
Enumeration date
05/23/2007
Last updated
07/09/2007
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