Individual
DONNA BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1112 ATKINSON ST, LAURINBURG, NC 28352-4723
(910) 610-4222
Mailing address
11921 PURCELL RD, LAURINBURG, NC 28352-1219
(910) 318-6456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20971
NC
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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