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Quentin Otto Demientieff
Counselor in Bethel, Alaska
NPI 1447744024

Quentin Otto Demientieff is a Counselor based in Bethel, AK. Quentin Otto Demientieff practices in Bethel, AK. The NPI Number for Quentin Otto Demientieff is 1447744024 and holds a License No. (Alaska).

The current practice location address for Quentin Otto Demientieff is 1360 Calista Drive, Bethel, AK and can be reached out via phone at 907-543-6830 and via fax at 907-543-3471.

Location: 1360 Calista Drive, Bethel, AK, 99559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447744024
Provider Name
Quentin Otto Demientieff
Credential
Provider Entity Type
Individual
Gender
Male
Address
1360 Calista Drive, Bethel, AK, 99559
Phone Number
907-543-6830
Fax Number
907-543-3471
Provider Enumeration Date
06/18/2018
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
1360 Calista Drive
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6830
Fax Number
907-543-3471
person
Provider Business Mailing Address Details
Address
1360 Calista Drive
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6830
Fax Number
907-543-3471
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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