Individual
GLORIA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCS, BHCII
Contact information
Practice address
201 DEERMOUNT ST FL 2, KETCHIKAN, AK 99901-6649
(907) 228-9203
Mailing address
3705 ARCTIC BLVD # 222, ANCHORAGE, AK 99503-5774
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3847
AK
Other
Enumeration date
05/15/2019
Last updated
08/29/2023
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