THEODORE LOLE TAUA

ANCHORAGE, AK
NPI1447894563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-31
Last Update Date2019-10-31
Business Address
THEODORE LOLE TAUA
741 N BUNN ST APT 4
ANCHORAGE, AK 99508-1696
Phone number: 907-333-2468
Mailing Address
THEODORE LOLE TAUA
500 E TUDOR RD STE 200
ANCHORAGE, AK 99503-7377
Phone number: 907-333-2468