Individual
BETHANY E. ONTHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 CASS ST, TRAVERSE CITY, MI 49684-2507
(231) 941-1990
(231) 275-7780
Mailing address
216 CASS ST, TRAVERSE CITY, MI 49684-2507
(231) 941-1990
(231) 275-7780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008539
MI
101YS0200X
School Counselor
80393
MI
104100000X
Social Worker
6801073303
MI
Other
Enumeration date
12/05/2006
Last updated
09/18/2009
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