Individual
MRS. LOIS DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHA
Contact information
Practice address
733 2ND AVE, FRF BEHAVIORAL HEALTH SERVICE, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7749
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7749
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/23/2020
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