Individual
KENNETH RAY BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCMH
Contact information
Practice address
12649 DUPONT BLVD, ELLENDALE, DE 19941-3307
(302) 424-7425
Mailing address
25197 BETHESDA RD, GEORGETOWN, DE 19947-2546
(302) 424-7425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC 0000336
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036552
—
DE
Enumeration date
12/06/2006
Last updated
07/09/2007
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