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Individual

MARTHA SENUNGETUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
324 RADIO STREET, BETHEL, AK 99559-0528
(907) 543-6723
Mailing address
PO BOX 528, BETHEL, AK 99559-0528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
788
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
Enumeration date
12/13/2013
Last updated
12/13/2013
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