Individual
MISS JENNIFER T BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W 25TH ST, NEW YORK, NY 10001-7207
(212) 529-6320
(212) 529-6916
Mailing address
127 W 25TH ST, NEW YORK, NY 10001-7207
(212) 529-6320
(212) 529-6916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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