FANNIE EVAN

Counselor

Active Individual
NPI: 1568076107

Practice Address

1360 CALISTA DRIVE
Bethel, AK 99559

Phone: (907) 543-6830

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1568076107 is the National Provider Identifier for FANNIE EVAN, a Counselor provider located in Bethel, AK. This NPI was enumerated on September 1, 2020.
FANNIE EVAN practices at 1360 CALISTA DRIVE, Bethel, AK 99559.

Quick Facts

NPI
1568076107
Type
Individual
Enumerated
Sep 1, 2020
Last Updated
Sep 1, 2020

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