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Individual

JESSE BEIGHTOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 LYNCH ST, WRANGELL, AK 99929-1231
(907) 874-5085
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/12/2020
Last updated
11/04/2020
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