Individual
ETTA KATHLEEN BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
321 BRUCE ST SUITE C, SEYMOUR, IN 47274
(930) 218-8144
Mailing address
5904 N COUNTY ROAD 1075 E, SEYMOUR, IN 47274
(812) 498-6387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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