Individual
BRIANNA BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 449-8464
Mailing address
6208 BEECHFIELD DR, LANSING, MI 48911-5731
(517) 449-8464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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