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Individual

MS. SHARON LAYNE SANDIFER-BETHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TEXAS LCDC

Contact information

Practice address
1600 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2642
(979) 691-3397
(979) 691-3332
Mailing address
1600 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2642
(979) 691-3397
(979) 691-3332

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC2902
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8664BH
BCBS
TX
Enumeration date
11/07/2007
Last updated
11/07/2007
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