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Individual

BETHANY MATHESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC(A), M.ED., NCC

Contact information

Practice address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-5884
Mailing address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
901687
TN
101YP2500X
Professional Counselor
Primary
A13085
NC

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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