Individual
BETHANY ANN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP, LPC, CBIS
Contact information
Practice address
4431 WILLIAM PENN HWY STE 5, MURRYSVILLE, PA 15668-1946
(470) 223-2256
Mailing address
632 MCKEE RD, WHITE OAK, PA 15131-2527
(470) 223-2256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC005326
PA
101YP2500X
Professional Counselor
Primary
PC005326
PA
Other
Enumeration date
03/26/2015
Last updated
11/26/2019
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