Individual
MRS. BETHANY LYNN REYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
10249 555TH ST, WEST CONCORD, MN 55985-4043
(507) 390-2215
Mailing address
10249 555TH ST, WEST CONCORD, MN 55985-4043
(507) 390-2215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304364
MN
101YM0800X
Mental Health Counselor
Primary
03069
MN
101YM0800X
Mental Health Counselor
101771
TX
101YP2500X
Professional Counselor
101771
TX
Other
Enumeration date
12/13/2017
Last updated
05/07/2026
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