Individual
JANE A HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP, LADC
Contact information
Practice address
ARMY BEHAVIORAL HEALTH, 1060 GAFFNEY ROAD STOP# 7420, FT. WAINWRIGHT, AK 99703
(907) 361-6059
Mailing address
ARMY BEHAVIORAL HEALTH, 1060 GAFFNEY ROAD STOP# 7420, FT. WAINWRIGHT, AK 99703
(907) 361-6059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1214
ND
101YP2500X
Professional Counselor
62389143
ND
103TC1900X
Counseling Psychologist
Primary
LP4974
MN
Other
Enumeration date
03/15/2007
Last updated
07/20/2023
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