Organization
BETHANY ISON LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY ISON (OWNER)
(774) 343-3332
Entity
Organization
Contact information
Practice address
19 E WIND DR, PLYMOUTH, MA 02360-2714
(774) 343-3332
Mailing address
31 HOME DEPOT DR # 236, PLYMOUTH, MA 02360-2669
(774) 343-3332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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