# BETHEL FAMILY COUNSELING PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shawna Bethel, LMFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356705222
- **Authorized official:** MS. SHAWNA R BETHEL LMFT (OWNER/CLINICIAN)
- **Authorized official phone:** (619) 933-9931

## Contact information

- **Practice address:** 3737 CAMINO DEL RIO S, 205, SAN DIEGO, CA 92108-4006
- **Practice address phone:** (619) 933-9931
- **Practice address fax:** (619) 516-3590
- **Mailing address:** 3737 CAMINO DEL RIO SOUTH, SUITE 205, SAN DIEGO, CA 92108-4008
- **Mailing address phone:** (619) 933-9931
- **Mailing address fax:** (619) 516-3590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 48619 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 04/07/2016