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Individual

BETHANY GRACE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
508 E MAIN ST STE 500, SALEM, VA 24153-4325
(540) 772-8043
(540) 772-8242
Mailing address
4346 STARKEY RD STE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009580
VA

Other

Enumeration date
08/06/2020
Last updated
08/06/2020
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