Individual
BETHANY ROSE GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3681 GREEN RD STE 404, BEACHWOOD, OH 44122-5716
(216) 342-5484
Mailing address
2459 SUMMIT RD, KENT, OH 44240-7131
(303) 812-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C.2103737
OH
101YP2500X
Professional Counselor
E.2404668
OH
Other
Enumeration date
01/21/2021
Last updated
09/06/2024
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