Individual
GINESSA PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
309 SPRUCE STREET, FORT YUKON, AK 99740
(907) 662-2587
Mailing address
PO BOX 309, FORT YUKON, AK 99740-0309
(907) 662-2587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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