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Individual

DIANE H. BETHUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATR, LCAT, CASAC

Contact information

Practice address
239 GOLDEN HILL LN, UCMHD, KINGSTON, NY 12401-6441
(845) 340-4156
Mailing address
1 MAVERICK RD, APT 14, WOODSTOCK, NY 12498-1715
(845) 679-5829

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12659
NY
221700000X
Art Therapist
Primary
000908
NY

Other

Enumeration date
11/13/2006
Last updated
09/11/2025
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