Individual
MS. MARY ANGELICA GUILAS-HAWVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CDCI
Contact information
Practice address
717 REZANOF DR E, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2417
Mailing address
PO BOX 2018, KODIAK, AK 99615-2018
(907) 481-2400
(907) 481-2417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1546
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH2237
—
AK
Enumeration date
08/20/2013
Last updated
08/20/2013
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