Individual
MRS. BETHANY GRACE DUFFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11357 NUCKOLS RD # 1339, GLEN ALLEN, VA 23059-5504
(804) 223-2150
Mailing address
11357 NUCKOLS RD # 1339, GLEN ALLEN, VA 23059-5504
(804) 223-2150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010664
VA
Other
Enumeration date
12/02/2021
Last updated
06/05/2023
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