Individual provider · Type 1 NPI
Ivy Johnson-Reese
Mental Health Counselor · Ketchikan, AK
NPI number
1609694082
Active
Practice location
721 Stedman St
Ketchikan, AK 99901-6632
Fax (907) 225-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1609694082
Ivy Johnson-Reese's National Provider Identifier is 1609694082, issued on Oct 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ketchikan, AK. The record was last updated on Oct 2, 2024.