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Jeremiah Tarrel Litke

Counselor in Juneau, AK. Individual provider (NPI-1).

NPI number1760638746
StatusActive
Last updated in NPPESAug 11, 2008

Details

NPI
1760638746
Entity type
Individual (NPI-1)
Name
Jeremiah Tarrel Litke
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 11, 2008
Last updated
Aug 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

3406 Glacier Hwy
Juneau, AK 99801-9501

Phone 907-463-3303

Mailing address

3406 Glacier Hwy
Juneau, AK 99801-9501

Phone 907-463-3303

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