Individual
MISS BETHANIE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
10549 JEFFERSON BLVD, CULVER CITY, CA 90232-3513
(310) 493-6265
Mailing address
1749 14TH ST, SANTA MONICA, CA 90404-4342
(323) 422-3687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12558
CA
Other
Enumeration date
12/07/2022
Last updated
10/17/2024
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