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CHARLENE A CLEARY CDCS

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

Registrant NPI Number: 1760779912

Individual Registrant:
 CHARLENE A CLEARY CDCS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
MILE 123 TOK CUT OFF  TOK, AK 99780-0083 US
Tel: 907-883-5185  Fax: 907-459-3925

Contact information for business:
PO BOX 83  TOK, AK 99780-0083 US
Tel: 907-883-5185  Fax: 907-459-3925

Registration Information:
NPI: 1760779912
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AK1263

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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