| Theodore Wyatt Mole, L P C | |
|
35037 Royal Pl, Soldotna, AK 99669-9755 | |
| (907) 260-7423 | |
| Not Available |
| Full Name | Theodore Wyatt Mole |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 35037 Royal Pl, Soldotna, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952676314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 736 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Wyatt Mole, L P C 48405 Bernice Ave, Soldotna, AK 99669-9437 Ph: (907) 953-1103 | Theodore Wyatt Mole, L P C 35037 Royal Pl, Soldotna, AK 99669-9755 Ph: (907) 260-7423 |
Nicholas Kolanach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Lora Jean Donaldson, LPC, CDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy Ste 203, Blazy Mall, Soldotna, AK 99669 Phone: 907-260-2612 | |
Molly Gretchen Davis, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 W Marydale Ave, Soldotna, AK 99669 Phone: 907-741-1683 Fax: 907-741-1683 | |
Amy Dawn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 | |
Jimmy Ward, MS, MDIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 35109 Royal Pl, Soldotna, AK 99669 Phone: 907-741-2725 Fax: 907-260-7427 | |
Lars Richard Russell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Ms. Evelyn Louise Clough, ANP, CDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy, Suite 105, Soldotna, AK 99669 Phone: 907-262-5324 Fax: 907-260-7464 |