| Mr Bryan Arthur Shores Sr, MA, CDC-I | |
|
733 3rd, Ferguson Building, Kotzebue, AK 99752 | |
| (907) 442-7640 | |
| (907) 442-7749 |
| Full Name | Mr Bryan Arthur Shores Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 733 3rd, Kotzebue, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417069162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan Arthur Shores Sr, MA, CDC-I 5808 Cordova St, Apt. #2, Anchorage, AK 99518-1355 Ph: (907) 563-1000 | Mr Bryan Arthur Shores Sr, MA, CDC-I 733 3rd, Ferguson Building, Kotzebue, AK 99752 Ph: (907) 442-7640 |
Mr. Elmer Waller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 5th Street Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7640 Fax: 907-442-7822 | |
Karen Elizabeth Schmidt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7612 Fax: 907-442-7749 | |
Lavonne Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 5th Street Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7640 | |
Renetta L Hobson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 Second Avenue, Kotzebue, AK 99752 Phone: 907-442-7738 | |
Dylan Patrick Schouppe, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7640 | |
Mr. William G. Westbrook, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Avenue, Kotzebue, AK 99752 Phone: 907-442-7640 | |
Mr. Yiyuk Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 5thstreet Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7760 Fax: 907-442-7749 |