Organization
KODIAK AREA NATIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE JACOBS (BH COMPLIANCE SPECIALIST)
(907) 486-9870
Entity
Organization
Contact information
Practice address
325 CAROLYN ST, KODIAK, AK 99615
(907) 486-9870
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9870
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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