Individual provider · Type 1 NPI
Michael H. Isom
Professional Counselor · Bethel, AK
NPI number
1457582512
Active
Practice location
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528
Mailing address
PO Box 528
Bethel, AK 99559-0528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 628 (AK) |
| Mental Health Counselor | 101YM0800X | LH60113447 (WA) |
| Professional Counselor | 101YP2500X | 624-2-1-09 (ND) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-13106 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1457582512
Michael H. Isom's National Provider Identifier is 1457582512, issued on Aug 6, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethel, AK. The record was last updated on Apr 9, 2010.