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Fred Joe
Mental Health Counselor in Nightmute, Alaska
NPI 1891996807

Fred Joe is a Mental Health Counselor based in Bethel, AK and is specialized in Mental Health. Fred Joe practices in Nightmute, AK. The NPI Number for Fred Joe is 1891996807 and holds a License No. (Alaska).

The current practice location address for Fred Joe is Nightmute Clinic, Nightmute, AK and can be reached out via phone at 907-647-6312 and via fax at 907-647-6945.

Location: Nightmute Clinic, Nightmute, AK, 99559-0528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891996807
Provider Name
Fred Joe
Credential
Provider Entity Type
Individual
Gender
Male
Address
Nightmute Clinic, Nightmute, AK, 99559-0528
Phone Number
907-647-6312
Fax Number
907-647-6945
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DA4442 05 AK
institution
Provider Business Practice Location Address Details
Address
Nightmute Clinic
City
Nightmute
State
Alaska
Zip
99690
Phone Number
907-647-6312
Fax Number
907-647-6945
person
Provider Business Mailing Address Details
Address
Nightmute Clinic
City
Nightmute
State
Alaska
Zip
99690
Phone Number
907-647-6312
Fax Number
907-647-6945
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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