CRYSTAL TICKETT

Community Health Worker

Active Individual
NPI: 1215569264

Practice Address

80 BACK STREET
Shungnak, AK 99778

Phone: (907) 437-2138

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -
Counselor - Mental Health 101YM0800X No -

Frequently Asked Questions

NPI 1215569264 is the National Provider Identifier for CRYSTAL TICKETT, a Community Health Worker provider located in Shungnak, AK. This NPI was enumerated on February 7, 2020.
CRYSTAL TICKETT practices at 80 BACK STREET, Shungnak, AK 99778.

Quick Facts

NPI
1215569264
Type
Individual
Enumerated
Feb 7, 2020
Last Updated
Jun 23, 2020

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