| Douglas Martin Booth, | |
|
1271 8th Ave, Metlakatla, AK 99926 | |
| (907) 886-6911 | |
| (907) 886-6917 |
| Full Name | Douglas Martin Booth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1271 8th Ave, Metlakatla, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346905999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Martin Booth, Po Box 8, Metlakatla, AK 99926-0008 Ph: (907) 886-6911 | Douglas Martin Booth, 1271 8th Ave, Metlakatla, AK 99926 Ph: (907) 886-6911 |
Trishta Leigh Brendible, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1271 8th Avenue, Metlakatla, AK 99926 Phone: 907-886-6911 Fax: 907-886-6917 | |
Natalie Louise Stickles, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1271 8th Avenue, Metlakatla, AK 99926 Phone: 907-886-6911 Fax: 907-886-6917 | |
Albert T Guthrie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1271 8th Avenue, Metlakatla, AK 99926 Phone: 907-886-6911 Fax: 907-886-6917 |