Individual provider · Type 1 NPI

Theodore Cooper Sutton, FSWC I/COUNSELOR

Addiction (Substance Use Disorder) Counselor · Togiak, AK

NPI number 1215119201 Active

Practice location

Main Street Bristol Bay Area Health Corporation, Togiak Behavioral Health Program, Family Resource Bld.
Togiak, AK 99678-0409

Fax (907) 493-5184

Mailing address

Bristol Bay Area Health Corporation, Togiak Behavioral Health Program, P.o. Box 409
Togiak, AK 99678-0409

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRHS CERTIFICATION (AK)

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

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About NPI 1215119201

Theodore Cooper Sutton, FSWC I/COUNSELOR's National Provider Identifier is 1215119201, issued on Nov 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Togiak, AK. The record was last updated on Nov 30, 2007.