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CAROLINE ASICKSIK

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1871968354

Individual Registrant:
 CAROLINE  ASICKSIK 
Gender: F
Sole Proprietor

Location and contact information for practice:
607 DIVISION ST  NOME, AK 99762-0966 US
Tel: 907-955-2442  Fax: --

Contact information for business:
607 DIVISION ST  NOME, AK 99762-0966 US
Tel: 907-955-2442  Fax: --

Registration Information:
NPI: 1871968354
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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