Theodore Cooper Sutton, FSWC I/COUNSELOR

NPI #1215119201 in Togiak, Alaska

Provider Information

NPI Number: 1215119201
Entity Type: Individual
Name: Theodore Cooper Sutton, FSWC I/COUNSELOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: FSWC I/COUNSELOR
Enumeration Date: Nov 30, 2007
Last Updated: Nov 30, 2007

Practice Location

Address: MAIN STREET BRISTOL BAY AREA HEALTH CORPORATION
Address 2: TOGIAK BEHAVIORAL HEALTH PROGRAM, FAMILY RESOURCE BLD.
City: Togiak
State: Alaska
ZIP Code: 99678-0409
Phone: (907) 493-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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