| Thomas Jerad Haugum, SUDCC III | |
|
3050 Fifth Ave Ste 100, Ketchikan, AK 99901-5773 | |
| (907) 463-0629 | |
| Not Available |
| Full Name | Thomas Jerad Haugum |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3050 Fifth Ave Ste 100, Ketchikan, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215757869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9184 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jerad Haugum, SUDCC III 3050 Fifth Ave Ste 100, Ketchikan, AK 99901-5773 Ph: (907) 463-0629 | Thomas Jerad Haugum, SUDCC III 3050 Fifth Ave Ste 100, Ketchikan, AK 99901-5773 Ph: (907) 463-0629 |
Ms. Candice Jillian Duckworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3050 Fifth Ave Ste 100, Ketchikan, AK 99901 Phone: 907-463-0627 | |
James Michael Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Jennifer Morneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-202-8727 | |
Harold English, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Alice Weisgram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Mr. James Edward Mcdonald Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 First Ave, Ketchikan, AK 99901 Phone: 907-225-4664 Fax: 907-885-6613 | |
Ms. Amber Lynn Machado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-617-9211 Fax: 907-885-6613 |