Organization
REBEL HEART HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANNE BEAULIEU CSW (PRESIDENT)
(907) 419-8254
Entity
Organization
Contact information
Practice address
1601 SALMON CREEK LN STE B, JUNEAU, AK 99801-7867
(907) 419-8254
Mailing address
2800 PETERS LN APT C, JUNEAU, AK 99801-2037
(907) 419-8254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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