Mole, Theodore Wyatt

Mole, Theodore Wyatt is an individual health care provider with primary practice located at 35037 Royal Pl , Soldotna AK 99669-9755. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mole, Theodore Wyatt can be contacted via phone (907) 260-7423.

Contact Information

Primary practice address
35037 Royal Pl Soldotna AK 99669-9755
Phone: (907) 260-7423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 736 Alaska

Profile Details

NPI number 1952676314
LBN Legal business name Mole, Theodore Wyatt
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 2012 - about 14 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.

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