NPI 1053856013

Leona Johansson

Practitioner Case Manager/Care Coordinator Bethel, AK

Practice location

Address: 1360 Calista Drive, Bethel, AK 99559-0528
Phone: (907) 543-6830
Fax: (907) 543-3471
Mailing address: PO Box 528, Bethel, AK 99559-0528

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1053856013
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2016
Record last updated: 19 Mar 2019

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.