Individual
DANIEL BERNARD GOGUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3200
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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