MR. Elmer Waller

NPI #1013152800 in Kotzebue, Alaska

Provider Information

NPI Number
1013152800
Entity Type
Individual
Name
MR. Elmer Waller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 8, 2008
Last Updated
Dec 8, 2008

Practice Location

Address
436 5TH STREET TED STEVENS WAY
State
Alaska
ZIP Code
99752
Phone
(907) 442-7640

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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