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MS. NYIA ASIA CHAREST LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1740510270

Individual Registrant:
MS. NYIA ASIA CHAREST LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
104 CENTER AVE SUITE 204 KODIAK, AK 99615-6393 US
Tel: 907-512-0890  Fax: 907-512-0891

Contact information for business:
PO BOX 8658 533 SHEARWATER WAY KODIAK, AK 99615 US
Tel: 907-942-7414  Fax: --

Registration Information:
NPI: 1740510270
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AKCSW S 886

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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