Individual
BETHANY DIANE BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
600 N 36TH ST STE 218, SEATTLE, WA 98103-8697
(206) 317-4688
Mailing address
2434 SW HOLDEN ST APT A, SEATTLE, WA 98106-3487
(206) 317-4688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60650995
WA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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