Individual
BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 S CHECK ST STE 110, WASILLA, AK 99654-8067
(907) 931-6928
(907) 931-7138
Mailing address
1075 S CHECK ST STE 110, WASILLA, AK 99654-8067
(907) 931-6928
(907) 931-7138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
154814
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1713243
—
AK
Enumeration date
12/28/2012
Last updated
07/09/2024
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