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Individual

BETHANY GOSNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2775 CRUSE RD STE 901, LAWRENCEVILLE, GA 30044-7143
(770) 925-2095
Mailing address
275 CAMAK DR, ATHENS, GA 30607-1407
(770) 843-5042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013198
GA

Other

Enumeration date
06/17/2025
Last updated
08/07/2025
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