| Theodore Cooper Sutton, FSWC I/COUNSELOR | |
|
Main Street Bristol Bay Area Health Corporation, Togiak Behavioral Health Program, Family Resource Bld., Togiak, AK 99678-0409 | |
| (907) 493-5637 | |
| (907) 493-5184 |
| Full Name | Theodore Cooper Sutton |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Main Street Bristol Bay Area Health Corporation, Togiak, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215119201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RHS CERTIFICATION (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Cooper Sutton, FSWC I/COUNSELOR Bristol Bay Area Health Corporation, Togiak Behavioral Health Program, P.o. Box 409, Togiak, AK 99678-0409 Ph: (907) 493-5637 | Theodore Cooper Sutton, FSWC I/COUNSELOR Main Street Bristol Bay Area Health Corporation, Togiak Behavioral Health Program, Family Resource Bld., Togiak, AK 99678-0409 Ph: (907) 493-5637 |
Arlene Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: #1 Kris Jane Street, Togiak, AK 99678 Phone: 907-493-5637 Fax: 907-493-5184 |