Individual
MRS. EDNA MAE BETHANCOURT-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADICTION THERAPIST
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-2961
Mailing address
3100 LAWRENCEVILLE HWY, TUCKER, GA 30084-7127
(770) 414-8916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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