Jonathan Liberty

NPI #1003285651 in Bethel, Alaska

Provider Information

NPI Number: 1003285651
Entity Type: Individual
Name: Jonathan Liberty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 24, 2015
Last Updated: Sep 24, 2015

Practice Location

Address: 835 CHIEF EDDIE HOFFMAN HIGHWAY
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-6552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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