Individual
CHARLENE A CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCS
Contact information
Practice address
MILE 123 TOK CUT OFF, TOK, AK 99780-0083
(907) 883-5185
(907) 459-3925
Mailing address
PO BOX 83, TOK, AK 99780-0083
(907) 883-5185
(907) 459-3925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1263
AK
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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