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Individual

MS. BETHANY MARIE SHREWSBURY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
250 THUNDERBIRD DR STE 5, EL PASO, TX 79912-3915
(915) 307-7598
(915) 975-8223
Mailing address
821 MARIMBA DR, EL PASO, TX 79912-4922
(915) 479-2168

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75686
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380848701
TX
05
74-1596159
TX
01
825412163
TAX ID
TX
Enumeration date
02/28/2018
Last updated
05/11/2023
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