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Susana Dorian Bennett-melendez
Counselor in Kodiak, Alaska
NPI 1326680760

Susana Dorian Bennett-melendez is a Counselor based in Ouzinkie, AK. Susana Dorian Bennett-melendez practices in Kodiak, AK. The NPI Number for Susana Dorian Bennett-melendez is 1326680760 and holds a License No. 19-161-BHA1 (Alaska).

The current practice location address for Susana Dorian Bennett-melendez is 3449 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-9800. You can also correspond with Susana Dorian Bennett-melendez through the mailing address at PO BOX 149, OUZINKIE, AK - 99644-0149 (mailing address contact number: 907-486-1390).

Location: 3449 E Rezanof Dr, Kodiak, AK, 99644-0149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326680760
Provider Name
Susana Dorian Bennett-melendez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3449 E Rezanof Dr, Kodiak, AK, 99644-0149
Phone Number
907-486-9800
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9800
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 149
City
Ouzinkie
State
Alaska
Zip
99644-0149
Phone Number
907-486-1390
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19-161-BHA1 (Alaska)
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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