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Individual

BETHANY CORINE KISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, LMHP, LPC

Contact information

Practice address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
Mailing address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6699
CO
101YM0800X
Mental Health Counselor
Primary
1066
NE
101YM0800X
Mental Health Counselor
3396
NE
101YP2500X
Professional Counselor
1719
NE

Other

Enumeration date
08/07/2008
Last updated
02/26/2013
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