NPI 1003285651
Jonathan Liberty
Practice location
- Address
- 835 Chief Eddie Hoffman Highway, Bethel, AK 99559
- Phone
- (907) 543-6552
- Mailing address
- PO Box 528 Attn: Brc Program, Bethel, AK 99559-0528
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003285651
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Sep 2015
- Record last updated
- 24 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.