Individual
BETHANY DAVIS BLIZARD
Active
Individual
BETHANY DAVIS BLIZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-30641
NC
104100000X
Social Worker
Primary
P018079
NC
1041C0700X
Clinical Social Worker
Primary
C019119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P018079
LCSWA
NC
Enumeration date
11/01/2022
Last updated
06/17/2026
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