Individual
ARTHUR BANNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
306 W 5TH AVENUE, NOME, AK 99762
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0212
—
AK
Enumeration date
03/01/2012
Last updated
03/01/2012
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