Provider Demographics
NPI:1447452511
Name:OTNES, NORENE NM (CFSW LL)
Entity type:Individual
Prefix:MRS
First Name:NORENE
Middle Name:NM
Last Name:OTNES
Suffix:
Gender:F
Credentials:CFSW LL
Other - Prefix:MS
Other - First Name:NORENE
Other - Middle Name:NM
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8936 DURAN ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8875
Mailing Address - Country:US
Mailing Address - Phone:907-463-6670
Mailing Address - Fax:907-463-6607
Practice Address - Street 1:3245 HOSPITAL DR
Practice Address - Street 2:SUITE 109
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7809
Practice Address - Country:US
Practice Address - Phone:907-463-6670
Practice Address - Fax:907-463-6607
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)