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Willie Nick David
Counselor in Kwethluk, Alaska
NPI 1184901035

Willie Nick David is a Counselor based in Kwethluk, AK. Willie Nick David practices in Kwethluk, AK. The NPI Number for Willie Nick David is 1184901035 and holds a License No. (Alaska).

The current practice location address for Willie Nick David is 49 Airport Road, Kwethluk, AK and can be reached out via phone at 907-757-6627 and via fax at 907-757-6626. You can also correspond with Willie Nick David through the mailing address at PO BOX 69, KWETHLUK, AK - 99621 (mailing address contact number: 907-757-6627).

Location: 49 Airport Road, Kwethluk, AK, 99621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184901035
Provider Name
Willie Nick David
Credential
Provider Entity Type
Individual
Gender
Male
Address
49 Airport Road, Kwethluk, AK, 99621
Phone Number
907-757-6627
Fax Number
907-757-6626
Provider Enumeration Date
11/07/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1020986 05 AK
institution
Provider Business Practice Location Address Details
Address
49 Airport Road
City
Kwethluk
State
Alaska
Zip
99621
Phone Number
907-757-6627
Fax Number
907-757-6626
person
Provider Business Mailing Address Details
Address
49 Airport Road
City
Kwethluk
State
Alaska
Zip
99621
Phone Number
907-757-6627
Fax Number
907-757-6626
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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