Individual
SETH JED DESIENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7500
Mailing address
508 UPLAND ST, KENAI, AK 99611-8026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1743513
—
AK
Enumeration date
10/03/2023
Last updated
06/19/2025
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