Koonooka, Marina

Koonooka, Marina is an sole proprietor health care provider with primary practice located at 607 Division Street , Nome AK 99762-0966. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Koonooka, Marina can be contacted via phone (907) 985-5110.

Contact Information

Primary practice address
607 Division Street Nome AK 99762-0966
Phone: (907) 985-5110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1144695628
LBN Legal business name Koonooka, Marina
Credentials CHA-T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2015
Last updated Feb 21st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers