Individual
ATANEQ BOOTY NODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 843-3205
Mailing address
600 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 843-3205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
AK
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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