Individual
BETHANY LYNN CASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCPC
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39003294A
IN
101YP2500X
Professional Counselor
Primary
39003294A
IN
Other
Enumeration date
12/23/2019
Last updated
12/27/2022
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