Individual provider · Type 1 NPI

Elmer Waller

Addiction (Substance Use Disorder) Counselor · Kotzebue, AK

NPI number 1013152800 Active

Practice location

436 5th Street Ted Stevens Way
Kotzebue, AK 99752

Call (907) 442-7640 Map

Fax (907) 442-7822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013152800

Elmer Waller's National Provider Identifier is 1013152800, issued on Dec 8, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kotzebue, AK. The record was last updated on Dec 8, 2008.