Individual
JORDAN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 942-0672
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
219869
AK
Other
Enumeration date
07/08/2019
Last updated
05/23/2024
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