Individual
MARLIN D BOZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2250 S WOODWORTH LOOP STE 202, PALMER, AK 99645-7457
(907) 761-5800
(907) 762-5801
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
199
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH4828
—
AK
Enumeration date
07/12/2006
Last updated
03/28/2019
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