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Individual

JIMMY WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, MDIV

Contact information

Practice address
35109 ROYAL PL, SOLDOTNA, AK 99669-9755
(907) 741-2725
(907) 260-7427
Mailing address
PO BOX 1185, KASILOF, AK 99610-1185
(907) 741-2725

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor

Other

Enumeration date
02/01/2018
Last updated
02/01/2018
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