Individual
KAELIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 SECOND AVENUE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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