Individual
BETHANY LYNN CRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 COMMERCIAL ST, NEVADA CITY, CA 95959-2507
(530) 600-6506
Mailing address
PO BOX 55, NEVADA CITY, CA 95959-0055
(530) 600-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114405
CA
Other
Enumeration date
10/12/2006
Last updated
07/05/2023
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