Individual
AUGUST CHARLES AGA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC1/BHC1
Contact information
Practice address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 562-4155
(907) 563-2891
Mailing address
5350 E REVOLUTIONARY WAY # 870238, WASILLA, AK 99654-6715
(907) 562-4155
(907) 563-2891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1847
AK
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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