Individual
BETHANY ANN DUTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
530 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 328-4213
(440) 328-4214
Mailing address
2115 W PARK DR, LORAIN, OH 44053-1138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181150
OH
Other
Enumeration date
07/01/2022
Last updated
12/13/2022
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