Doctor Name: | IRIS OLANNA |
NPI Number: | 1164886420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 607 Division Street Nome, AK - 997620966 |
Business Phone Number: | 9074433344 |
Business Fax Number: | 9074435915 |
Mailing Address: | Po Box 966, 607 Division Street NOME |
State: | AK |
Postal Code: | 997620966 |
Phone Number: | 9074433344 |
Fax Number: | 9074435915 |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |