Organization
MANIILAQ ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN BOLEN (PRESIDENT)
(907) 442-3311
Entity
Organization
Contact information
Practice address
733 SECOND AVE, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7822
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
241
AK
Other
Enumeration date
04/02/2007
Last updated
08/08/2007
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