Brand, Jody Lyn
Brand, Jody Lyn is an individual health care provider with primary practice located at 1410 Calista Drive , Bethel AK 99559-0528. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brand, Jody Lyn can be contacted via phone (907) 543-6730.Contact Information
Primary practice address
1410 Calista Drive
Bethel AK 99559-0528
Phone: (907) 543-6730
Fax: (907) 543-6712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6903328-6004 | Utah |
Profile Details
| NPI number | 1992007702 |
|---|---|
| LBN Legal business name | Brand, Jody Lyn |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Sep 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992007702 | NPPES |
| Alaska | MEDICAID | 1020986 |
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