Individual
BETHANY E STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 BLACKBURN DR, AUGUSTA, GA 30907-8202
(706) 825-4691
Mailing address
838 HEARD AVE, AUGUSTA, GA 30904-4206
(706) 691-8645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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