person
Amos Banham
Peer Specialist in Wasilla, Alaska
NPI 1033877873

Amos Banham is a Peer Specialist based in Wasilla, AK. Amos Banham practices in Wasilla, AK. The NPI Number for Amos Banham is 1033877873 and holds a License No. (Alaska).

The current practice location address for Amos Banham is 7010 E Bogard Rd Bldg 2, Wasilla, AK and can be reached out via phone at 907-373-4732 and via fax at 907-746-4749. You can also correspond with Amos Banham through the mailing address at PO BOX 876741, WASILLA, AK - 99687-6741 (mailing address contact number: 907-373-4732).

Location: 7010 E Bogard Rd Bldg 2, Wasilla, AK, 99687-6741
person
Provider Profile Details
NPI Number
1033877873
Provider Name
Amos Banham
Credential
Provider Entity Type
Individual
Gender
Male
Address
7010 E Bogard Rd Bldg 2, Wasilla, AK, 99687-6741
Phone Number
907-373-4732
Fax Number
907-746-4749
Provider Enumeration Date
11/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7010 E Bogard Rd Bldg 2
City
State
Zip
99654-4711
Phone Number
907-373-4732
Fax Number
907-746-4749
person
Provider Business Mailing Address Details
Address
7010 E Bogard Rd Bldg 2
City
State
Zip
99654-4711
Phone Number
907-373-4732
Fax Number
907-746-4749
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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