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NAOMI MADSEN

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

Registrant NPI Number: 1831504091

Individual Registrant:
 NAOMI  MADSEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
151 MAIN STREET  SAVOONGA, AK 99769-0151 US
Tel: 907-984-6635  Fax: 907-984-6050

Contact information for business:
PO BOX 151  SAVOONGA, AK 99769-0151 US
Tel: 907-984-6635  Fax: 907-984-6050

Registration Information:
NPI: 1831504091
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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