Individual
WAYNE WALLUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 5TH STREET TED STEVENS WAY, KOTZEBUE, AK 99752-0436
(907) 442-7640
Mailing address
436 5TH STREET TED STEVENS WAY, KOTZEBUE, AK 99752-0436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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