Individual
BETH SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
Update your record
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