Individual
BETHANY NUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81709 DR. CARREON BLVD. B-1, INDIO, CA 92201
(760) 880-3522
Mailing address
81709 DR. CARREON BLVD. B-1, INDIO, CA 92201
(760) 347-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
10/24/2023
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