Individual provider · Type 1 NPI

Karl Robert Soderstrom

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1942866009 Active

Practice location

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

Call (907) 313-1333 Map

Fax (907) 357-8781

Mailing address

300 N Main St
Wasilla, AK 99654-7017

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 1942866009

Karl Robert Soderstrom's National Provider Identifier is 1942866009, issued on May 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Feb 18, 2020.