Individual
BETTY JO BERTHELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 S WALNUT ST, DEXTER, MO 63841-2144
(573) 624-9383
(573) 624-9383
Mailing address
212 S WALNUT ST, DEXTER, MO 63841-2144
(573) 624-9383
(573) 624-9383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001694
MO
Other
Enumeration date
01/24/2007
Last updated
07/09/2007
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