person
Beth Johnson
Professional Counselor in Wasilla, Alaska
NPI 1386980936

Beth Johnson is a Professional Counselor based in Wasilla, AK and is specialized in Professional. Beth Johnson practices in Wasilla, AK. The NPI Number for Beth Johnson is 1386980936 and holds a License No. 154814 (Alaska).

The current practice location address for Beth Johnson is 290 N Yenlo St Ste B5, Wasilla, AK and can be reached out via phone at 907-931-6928 and via fax at 907-931-7138. You can also correspond with Beth Johnson through the mailing address at 290 N YENLO ST STE B5, WASILLA, AK - 99654-7177 (mailing address contact number: 907-931-6928).

Location: 290 N Yenlo St Ste B5, Wasilla, AK, 99654-7177
person
Provider Profile Details
NPI Number
1386980936
Provider Name
Beth Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
290 N Yenlo St Ste B5, Wasilla, AK, 99654-7177
Phone Number
907-931-6928
Fax Number
907-931-7138
Provider Enumeration Date
12/28/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1713243 05 AK
institution
Provider Business Practice Location Address Details
Address
290 N Yenlo St Ste B5
City
State
Zip
99654-7177
Phone Number
907-931-6928
Fax Number
907-931-7138
person
Provider Business Mailing Address Details
Address
290 N Yenlo St Ste B5
City
State
Zip
99654-7177
Phone Number
907-931-6928
Fax Number
907-931-7138
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
154814 (Alaska)
Definition
Definition to come...
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