Individual
BETHANY KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 HENSLEY ST, SAN DIEGO, CA 92102-4018
(724) 316-9973
Mailing address
120 HENSLEY ST, SAN DIEGO, CA 92102-4018
(724) 316-9973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
87821
CA
Other
Enumeration date
08/13/2019
Last updated
02/11/2022
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