Individual
BETHEA ELIZABETH LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3136 BROCKWAY RD, SUITE B, WATERLOO, IA 50701-5103
(319) 232-2086
(319) 232-6846
Mailing address
3136 BROCKWAY RD, SUITE B, WATERLOO, IA 50701-5103
(319) 232-2086
(319) 232-6846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001313
IA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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