Individual
MRS. BETHANY MIKKELLE LINDSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 N D ST, SAN BERNARDINO, CA 92410-3519
(909) 889-6519
Mailing address
939 N D ST, SAN BERNARDINO, CA 92410-3519
(909) 889-6519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1516150723
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
07/17/2023
Last updated
07/09/2025
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