Individual
MRS. BETHANY RENEE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 E COLUMBUS AVE STE 1, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
Mailing address
212 E COLUMBUS AVE, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801409-TRNE
OH
101YP2500X
Professional Counselor
Primary
6512644
OH
Other
Enumeration date
01/10/2019
Last updated
12/05/2023
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