Individual
JONATHAN STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.A.S
Contact information
Practice address
717 REZANOF DR E, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Mailing address
PO BOX 1024, KODIAK, AK 99615-1024
(209) 923-1725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S1006171624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021028
—
AK
Enumeration date
04/22/2014
Last updated
04/22/2014
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