Individual
MS. BETH ELLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 KING ST, BRISTOL EXTENDED DAY PROGRAM, BRISTOL, CT 06010-9202
(860) 584-3891
(860) 584-3893
Mailing address
632 KING ST, BRISTOL EXTENDED DAY PROGRAM, BRISTOL, CT 06010-9202
(860) 584-3891
(860) 584-3893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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