Individual
BETHANY ANN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC, LSW
Contact information
Practice address
200 5TH ST S STE 105, MOORHEAD, MN 56560-2768
(218) 284-1805
Mailing address
200 5TH ST S STE 105, MOORHEAD, MN 56560-2768
(218) 284-1805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305232
MN
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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