Individual
KRISTIN PANIPTCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1ST MAIN STREET, SHAKTOOLIK, AK 99771-0009
(907) 955-3311
(907) 955-2342
Mailing address
1ST MAIN STREET, SHAKTOOLIK, AK 99771-0009
(907) 955-3311
(907) 955-2342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
05/10/2017
Last updated
10/21/2022
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