Individual
BETHANY ANN HENRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 S STATE ST, ELGIN, IL 60123-7673
(847) 931-6200
Mailing address
695 S STATE ST, ELGIN, IL 60123-7673
(847) 931-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.013066
IL
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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