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LORETTA JEAN EADES

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

Registrant NPI Number: 1013144203

Individual Registrant:
 LORETTA JEAN EADES 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
257 OCEAN CAPE RD POB 228 YAKUTAT, AK 99689 US
Tel: 907-747-3636  Fax: --

Contact information for business:
257 OCEAN CAPE RD POB 228 YAKUTAT, AK 99689 US
Tel: 907-747-3636  Fax: --

Registration Information:
NPI: 1013144203
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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