Individual
BETH SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162496
OH
104100000X
Social Worker
Primary
S.2308758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330435
—
OH
Enumeration date
01/06/2019
Last updated
09/18/2023
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