Individual
MRS. JODY LYN BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1410 CALISTA DRIVE, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Mailing address
410 NORTH 100 EAST, P.O. BOX 440219, KOOSHAREM, UT 84744-0219
(435) 638-7373
(435) 638-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6903328-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
11/30/2010
Last updated
09/18/2019
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