Individual
MS. NYIA ASIA CHAREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
717 E REZANOF DR, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Mailing address
PO BOX 3290, PORTLAND, OR 97208-3290
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW S 886
AK
Other
Enumeration date
01/06/2010
Last updated
06/03/2021
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