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JODY JO ASIMAKOPOULOS

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1770145922

Individual Registrant:
 JODY JO ASIMAKOPOULOS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
245 N BINKLEY ST STE 202  SOLDOTNA, AK 99669-7500 US
Tel: 907-714-4522  Fax: 907-260-4063

Contact information for business:
245 N BINKLEY ST STE 202  SOLDOTNA, AK 99669-7500 US
Tel: 907-714-4522  Fax: 907-260-4063

Registration Information:
NPI: 1770145922
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AK4157

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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