Most Relevant Information
Provider Data
| NPI Number: | 1003055187 |
| Provider Name: | LOUIS MALLETTE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2009 |
| Last Updated: | 02/12/2009 |
Provider Practice Location
940 STATE HWY
BETHEL
AK
99559
Practice Location Phone/Fax
| Phone: | 9075436000 |
| Fax: |
Provider Mailing Location
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL
AK
995590528
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |