Individual
BETSY L DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1948 W BOULEVARD, KOKOMO, IN 46902-6078
(765) 452-5437
(844) 684-6185
Mailing address
800 FULTON ST, ATTN: ANNE LAWSON - CREDENTIALING, LOGANSPORT, IN 46947-1577
(574) 205-2600
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35002597A
IN
Other
Enumeration date
10/25/2010
Last updated
11/06/2020
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