Individual
CHANCY BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PLPE
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205
(501) 821-5459
(501) 821-6116
Mailing address
800 EXCHANGE AVE STE 202, CONWAY, AR 72032-7836
(501) 328-3274
(501) 358-6264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11-12EI
AR
Other
Enumeration date
12/27/2010
Last updated
08/24/2018
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