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Mr. John Isaac Nicori JR.
Addiction (Substance Use Disorder) Counselor in Bethel, Alaska
NPI 1174144802

John Isaac Nicori JR. is an Addiction (Substance Use Disorder) Counselor based in Bethel, AK and is specialized in Addiction (Substance Use Disorder). John Isaac Nicori JR. practices in Bethel, AK. The NPI Number for John Isaac Nicori JR. is 1174144802 and holds a License No. (Alaska).

The current practice location address for John Isaac Nicori JR. is 1410 Calista Drive, Bethel, AK and can be reached out via phone at 907-543-6730 and via fax at 907-543-6712.

Location: 1410 Calista Drive, Bethel, AK, 99559-0528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174144802
Provider Name
John Isaac Nicori JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1410 Calista Drive, Bethel, AK, 99559-0528
Phone Number
907-543-6730
Fax Number
907-543-6712
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1020986 05 AK
institution
Provider Business Practice Location Address Details
Address
1410 Calista Drive
City
Bethel
State
Alaska
Zip
99559-0528
Phone Number
907-543-6730
Fax Number
907-543-6712
person
Provider Business Mailing Address Details
Address
1410 Calista Drive
City
Bethel
State
Alaska
Zip
99559-0528
Phone Number
907-543-6730
Fax Number
907-543-6712
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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