Individual
DANYEL BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 CORPORATE SQUARE DR, SUITE 2, SLIDELL, LA 70458-3157
(985) 445-1488
Mailing address
1349 CORPORATE SQUARE DR, SUITE 2, SLIDELL, LA 70458-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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