person
Michael H Isom
Addiction (Substance Use Disorder) Counselor in Bethel, Alaska
NPI 1457582512

Michael H Isom is an Addiction (Substance Use Disorder) Counselor based in Bethel, AK and is specialized in Addiction (Substance Use Disorder). Michael H Isom practices in Bethel, AK. The NPI Number for Michael H Isom is 1457582512 and holds a License No. 628 (Alaska).

The current practice location address for Michael H Isom is 829 Chief Eddie Hoffman Hwy, Bethel, AK and can be reached out via phone at 907-543-6100.

Location: 829 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
person
Provider Profile Details
NPI Number
1457582512
Provider Name
Michael H Isom
Credential
Provider Entity Type
Individual
Gender
Male
Address
829 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
Phone Number
907-543-6100
Fax Number
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA4442 05 AK
institution
Provider Business Practice Location Address Details
Address
829 Chief Eddie Hoffman Hwy
City
State
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
person
Provider Business Mailing Address Details
Address
829 Chief Eddie Hoffman Hwy
City
State
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
624-2-1-09 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60113447 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
628 (Alaska)
Definition
Definition to come...
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