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Individual

LUKE D VILLNAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 842-5201
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9266

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator
AK

Other

Enumeration date
10/07/2019
Last updated
10/25/2023
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