Individual provider · Type 1 NPI

Valencia Latarah Gantt-Banks

Mental Health Counselor · Bethel, AK

NPI number 1669517181 Active

Practice location

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Call (907) 543-6100 Map

Fax (907) 543-6008

Mailing address

PO Box 528
Bethel, AK 99559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669517181

Valencia Latarah Gantt-Banks's National Provider Identifier is 1669517181, issued on Feb 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bethel, AK. The record was last updated on Mar 22, 2011.