NPI 1467047191 · live from the CMS NPI Registry
Roberta Agimuk
Counselor in Bethel, AK. National Provider Identifier 1467047191, active.
NPI record
| NPI | 1467047191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 5016 Noel Polty Blvd., Bethel, AK 99559 |
| Practice phone | 907-543-6800 |
| Mailing address | Po Box 1029, Bethel, AK 99559 |
| Enumerated | March 4, 2021 |
| Last updated | March 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.