Individual
MRS. JODI LYNN LOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDC1
Contact information
Practice address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
(907) 260-4063
Mailing address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4269
AK
Other
Enumeration date
10/22/2020
Last updated
12/31/2020
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