Individual
BETHANY GRACE PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
200 BELMONT AVE, SOMERSET, KY 42501-2419
(606) 687-2038
(606) 200-3654
Mailing address
200 BELMONT AVE, SOMERSET, KY 42501-2419
(606) 687-2038
(606) 200-3654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
285272
KY
Other
Enumeration date
01/31/2024
Last updated
05/10/2024
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