Individual
JOHN HERMAN YAKANAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHA III, MSCP
Contact information
Practice address
705 SECOND ST., CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Mailing address
PO BOX 2290, CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20174BHAIII
AK
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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