Wellformed AI

NPI 1427554666 · live from the CMS NPI Registry

Lisa Marie Amarok

Counselor in Bethel, AK. National Provider Identifier 1427554666, active.

NPI record

NPI1427554666 Type 1 · individual
StatusActive
Primary specialtyCounselor 101Y00000X
Practice location1410 Calista Drive, Bethel, AK 99559
Practice phone907-543-6730
Mailing addressP.O. Box 528, Attn: Bh Ahc Program, Bethel, AK 99559
EnumeratedApril 5, 2018
Last updatedApril 5, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor primary101Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.