Individual
BETHANY ROSE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3562 E US HIGHWAY 30, WARSAW, IN 46580-6720
(574) 376-4489
Mailing address
811 E FORT WAYNE ST, WARSAW, IN 46580-3344
(248) 915-5558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002950A
IN
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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