LUKE TITUS

FAIRBANKS, AK
NPI1275740532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK  DA4380)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- LUKE TITUS
122 FIRST AVENUE SUITE 600
FAIRBANKS, AK 99701
Phone number: 907-452-8251
Mailing Address
-- LUKE TITUS
122 FIRST AVENUE SUITE 600
MINTO, AK 99701
Phone number: 907-452-8251
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