Provider Demographics
NPI:1366017477
Name:BEN-ISRAEL, HADAHRA (BACHELOR OF SOCIAL W)
Entity Type:Individual
Prefix:MS
First Name:HADAHRA
Middle Name:
Last Name:BEN-ISRAEL
Suffix:
Gender:F
Credentials:BACHELOR OF SOCIAL W
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 809
Mailing Address - Street 2:
Mailing Address - City:DELTA JCT
Mailing Address - State:AK
Mailing Address - Zip Code:99737-0809
Mailing Address - Country:US
Mailing Address - Phone:907-803-7022
Mailing Address - Fax:
Practice Address - Street 1:HATS OF WISDOM
Practice Address - Street 2:MILE 266.5 RICHARDSON HIGHWAY
Practice Address - City:DELTA JCT
Practice Address - State:AK
Practice Address - Zip Code:99737
Practice Address - Country:US
Practice Address - Phone:907-803-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health