Individual
BETHANY K SWETNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCII, SWA
Contact information
Practice address
62 E STEVENS ST, NEWARK, OH 43055-5969
(740) 366-7303
(740) 366-7305
Mailing address
62 E STEVENS ST, NEWARK, OH 43055-5969
(740) 366-7303
(740) 366-7305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111044
OH
104100000X
Social Worker
0600109
OH
Other
Enumeration date
04/24/2017
Last updated
04/25/2018
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