AMOS BANHAM

PALMER, AK
NPI1033877873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2021-11-29
Last Update Date2024-08-16
Business Address
AMOS BANHAM
950 S SNODGRASS DR
PALMER, AK 99645-9750
Phone number: 907-373-4732
Mailing Address
AMOS BANHAM
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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