THOMAS JERAD HAUGUM

KETCHIKAN, AK
NPI1215757869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9184)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
THOMAS JERAD HAUGUM SUDCC III
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901-5773
Phone number: 907-463-0629
Mailing Address
THOMAS JERAD HAUGUM SUDCC III
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901-5773
Phone number: 907-463-0629
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