Individual
SHAMBHAVI JASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 809, DELTA JUNCTION, AK 99737-0809
(907) 803-7022
Mailing address
PO BOX 809, DELTA JUNCTION, AK 99737-0809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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