Individual
BETHANY BILYEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 576-7218
Mailing address
341 IRWIN LANE, SANTA ROSA, CA 95401
(707) 576-7218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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