Anthony William Brotzge

NPI #1205561370 in Wasilla, Alaska

Provider Information

NPI Number: 1205561370
Entity Type: Individual
Name: Anthony William Brotzge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 21, 2022
Last Updated: Jul 21, 2022

Practice Location

Address: 591 S KNIK GOOSE BAY RD
City: Wasilla
State: Alaska
ZIP Code: 99654-8062
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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