Amanda Iverson

NPI #1063018562 in Ketchikan, Alaska

Provider Information

NPI Number: 1063018562
Entity Type: Individual
Name: Amanda Iverson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Dec 9, 2020
Last Updated: Feb 9, 2021

Practice Location

Address: 3356 DALE ST
City: Ketchikan
State: Alaska
ZIP Code: 99901-5626
Phone: (907) 225-7825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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