CHARLIE TITUS

FAIRBANKS, AK
NPI1023340056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-02-01
Last Update Date2010-02-01
Business Address
Mr. CHARLIE TITUS
122 1ST AVE
FAIRBANKS, AK 99701-4803
Phone number: 907-452-8251
Mailing Address
Mr. CHARLIE TITUS
180 HUMBLE WAY
FAIRBANKS, AK 99709
Phone number: 907-590-9165
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