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Jeffrey Blyth
Mental Health Counselor in Bethel, Alaska
NPI 1508385071

Jeffrey Blyth is a Mental Health Counselor based in Bethel, AK and is specialized in Mental Health. Jeffrey Blyth practices in Bethel, AK. The NPI Number for Jeffrey Blyth is 1508385071 and holds a License No. 1512 (Alaska).

The current practice location address for Jeffrey Blyth is 700 Chief Eddie Hoffman Highway, Bethel, AK and can be reached out via phone at 907-543-6100.

Location: 700 Chief Eddie Hoffman Highway, Bethel, AK, 99559-0528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508385071
Provider Name
Jeffrey Blyth
Credential
Provider Entity Type
Individual
Gender
Male
Address
700 Chief Eddie Hoffman Highway, Bethel, AK, 99559-0528
Phone Number
907-543-6100
Fax Number
Provider Enumeration Date
09/15/2017
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
700 Chief Eddie Hoffman Highway
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6100
Fax Number
person
Provider Business Mailing Address Details
Address
700 Chief Eddie Hoffman Highway
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1512 ()
Definition
Definition to come...
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