Individual
JENNIFER K HULTBERG DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. L.P.C.
Contact information
Practice address
1044 E END RD STE C, HOMER, AK 99603-7205
(907) 235-1264
Mailing address
PO BOX 1559, HOMER, AK 99603-1559
(907) 235-2970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128345
AK
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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