Individual
JOETTA LYNN THOMPSON COLQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WEST C STREET AND WILLOW, TOK, AK 99780
(907) 883-5106
Mailing address
PO BOX 398, TOK, AK 99780-0398
(907) 883-5106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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