Gloria A Benson, CDC 1
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Yakutat, AK
NPI 1396249496 · NPPES record last updated Mar 22, 2018
Key facts
- NPI
- 1396249496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4226 (AK)
- Practice address
- 712 Ocean Cape Rd
Yakutat, AK 99689 - Phone
- (907) 784-3275
- Fax
- (907) 784-3263
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakutat Community Health Center | Past |
Accepting new patients | |
| Yakutat Tribal Health Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4226 | AK | Yes |
Addresses
Primary practice location
712 Ocean Cape Rd
Yakutat, AK 99689
Mailing address
PO Box 112
Yakutat, AK 99689-0112
Phone (907) 784-3275
Other providers in Yakutat, AK
- Maina Simeona Adams
- Catholic Community Service
- Brittany Leanne Johnson
- Charles Allen Jones II
- Rebecca Lynn Nichols
- Leeman Meresebang Ollaol
All providers in Yakutat, AK · Addiction (Substance Use Disorder) Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.