Individual
JODY JO ASIMAKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4522
(907) 260-4063
Mailing address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4522
(907) 260-4063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4157
AK
Other
Enumeration date
07/08/2019
Last updated
01/07/2021
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