Individual
BETHANEY LYNNE HOFFACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC-QS
Contact information
Practice address
8280 COLLEGE PKWY STE 103, FORT MYERS, FL 33919-5122
(941) 258-6944
Mailing address
15741 SUNNY CREST LN, FORT MYERS, FL 33905-2423
(941) 258-9944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH12054
FL
101YM0800X
Mental Health Counselor
Primary
MH12054
FL
Other
Enumeration date
07/10/2012
Last updated
01/14/2022
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