Provider Demographics
NPI:1417245952
Name:HOWARD, YVONNE GERTRUDE (BHA)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:GERTRUDE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:BHA
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 97
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:AK
Mailing Address - Zip Code:99738-0097
Mailing Address - Country:US
Mailing Address - Phone:907-451-6682
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 97
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:AK
Practice Address - Zip Code:99738
Practice Address - Country:US
Practice Address - Phone:800-478-6682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)