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General NPI Number Information
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NPI Number | 1093939548
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Entity Type | Organization
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Legal Business Name | HOONAH BHVRL HLTH PROGRAM
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 568 RAVIN DRIVE
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City | HOONAH
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State | AK
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Zip | 99829-0103
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Country | US
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Telephone | 907-945-3235
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Fax | 907-945-3239
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | HOONAH
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State | AK
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Zip | 99829-0103
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Country | US
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Telephone | 907-945-3235
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Fax | 907-945-3239
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Authorized Official
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Title or Position | LEAD CLINICIAN
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Name | MS. LAURA BREWER
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Credential |
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Telephone | 907-945-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | AK
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