ALF H. WALLE

FAIRBANKS, AK
NPI1790991610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Dr. ALF H. WALLE
122 1ST AVE
FAIRBANKS, AK 99701-4803
Phone number: 907-452-8251
Mailing Address
Dr. ALF H. WALLE
122 1ST AVE STE 302
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251