Individual
AMANDA BETHUREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
228 PLAZA DR STE D, LEHIGH ACRES, FL 33936-6054
(239) 690-6906
Mailing address
5216 BILLINGS ST, LEHIGH ACRES, FL 33971-6482
(954) 830-4123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24218
FL
Other
Enumeration date
06/16/2022
Last updated
09/03/2024
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