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MARTHA SIMON

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

Registrant NPI Number: 1619187325

Individual Registrant:
 MARTHA  SIMON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
OLD LIBRARY BLDG.  HOOPER BAY, AK 99604 US
Tel: 907-758-4811  Fax: 907-758-4065

Contact information for business:
PO BOX 528  BETHEL, AK 99559-0528 US
Tel: 907-543-6100  Fax: 907-543-6008

Registration Information:
NPI: 1619187325
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DA4442AK05




HEALTH CARE JOBS AK - Page 1



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