Individual provider · Type 1 NPI

Ethan Shane Blevins

Counselor · Bethel, AK

NPI number 1164952966 Active

Practice location

381 4th Ave
Bethel, AK 99559

Call (907) 543-2242 Map

Mailing address

PO Box 528, Attn: Bh Bautista
Bethel, AK 99559

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164952966

Ethan Shane Blevins's National Provider Identifier is 1164952966, issued on Jun 14, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bethel, AK. The record was last updated on Jun 14, 2017.