Individual
MISS BETHANY FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
(850) 763-7102
(850) 769-0855
Mailing address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
(850) 763-7102
(850) 769-0855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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