Individual provider · Type 1 NPI
Fred Joe
Mental Health Counselor · Nightmute, AK
NPI number
1891996807
Active
Practice location
Nightmute Clinic
Nightmute, AK 99690
Fax (907) 647-6945
Mailing address
PO Box 528
Bethel, AK 99559-0528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1891996807
Fred Joe's National Provider Identifier is 1891996807, issued on May 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nightmute, AK. The record was last updated on Jul 9, 2007.