Momodoubolong Faitala
Momodoubolong Faitala is an Addiction (Substance Use Disorder) Counselor in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2021.
- Licensed in
- AK
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3105 Lakeshore Dr Ste A101Anchorage, AK 99517-2815
Phone: (907) 302-9164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-21-196652 (AK) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1144810763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
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