Individual
BETHANY J WATTERS-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(175) 793-4000
Mailing address
PO BOX 86, BOWLER, WI 54416-0086
(715) 793-0531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19780-130
WI
101YM0800X
Mental Health Counselor
Primary
7479-226
WI
Other
Enumeration date
05/24/2023
Last updated
07/21/2023
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