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PATRICIA JEAN PRETORIUS

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1396345104

Individual Registrant:
 PATRICIA JEAN PRETORIUS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
102 ELDERBERRY STREET  OLD HARBOR, AK 99643 US
Tel: 907-286-2205  Fax: --

Contact information for business:
PO BOX 72  OLD HARBOR, AK 99643-0072 US
Tel: 907-486-1384  Fax: --

Registration Information:
NPI: 1396345104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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