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Individual

DEBRA KINERK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDC I

Contact information

Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9203
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AK

Other

Enumeration date
01/17/2020
Last updated
01/17/2020
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