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Bereniz Blackwell

Case Manager/Care Coordinator in Juneau, AK. Individual provider (NPI-1).

NPI number1336088012
StatusActive
Last updated in NPPESMar 26, 2026

Details

NPI
1336088012
Entity type
Individual (NPI-1)
Name
Bereniz Blackwell
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2026
Certification date
Mar 26, 2026
Last updated
Mar 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

5590 Aisek St
Juneau, AK 99801-9522

Phone 907-780-3044 · Fax 907-780-6083

Mailing address

5597 Aisek St
Juneau, AK 99801-9522

Phone 907-780-3044 · Fax 907-780-6083

Other practice locations

5597 Aisek St
Juneau, AK 99801-9522

Phone 907-780-3044 · Fax 907-780-6083

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