Individual
MRS. BETHANY LEIGH NELLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
3937 YALE AVE, HAMBURG, NY 14075-2810
(716) 512-9195
Mailing address
3937 YALE AVE, HAMBURG, NY 14075-2810
(716) 512-9195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009318-01
NY
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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