Individual
BETHANY L COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6731 POPPY DR, FT WORTH, TX 76137-1871
(602) 295-7200
(602) 295-7200
Mailing address
6731 POPPY DR, FT WORTH, TX 76137-1871
(602) 295-7200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
64642
TX
Other
Enumeration date
08/13/2007
Last updated
05/10/2013
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