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Individual

MRS. BETHANY PEARL BRINTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
14558 DANVILLE PIKE, LAUREL FORK, VA 24352-3982
(276) 398-2292
(276) 398-3331
Mailing address
106 FAIRLAKE LN, LAUREL FORK, VA 24352-3987

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4307
NC
101YP2500X
Professional Counselor
Primary
0701005133
VA
101YP2500X
Professional Counselor
4307
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102321
NC
Enumeration date
12/19/2006
Last updated
11/11/2025
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