Individual
MS. ELSIE MAUDE OLANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TUTU ST., BREVIG, AK 99785
(907) 643-1511
(907) 642-2254
Mailing address
PO BOX 113, # 1 TUTU ST., BREVIG, AK 99785
(907) 643-1511
(907) 642-2254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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