Individual
MAX BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LOT 3C BLOCK 5 GOOSE CREEK, THORNE BAY, AK 99919
(907) 225-7825
(907) 225-1541
Mailing address
PO BOX 19358, THORNE BAY, AK 99919-0358
(907) 254-8251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
02/09/2021
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