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JAEDON AVEY MS

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1386950988

Individual Registrant:
 JAEDON  AVEY MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
306 WEST 5TH AVENUE  NOME, AK 99762-0966 US
Tel: 907-443-3344  Fax: 907-443-5915

Contact information for business:
306 WEST 5TH AVENUE  NOME, AK 99762-0966 US
Tel: 907-443-3344  Fax: 907-443-5915

Registration Information:
NPI: 1386950988
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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