Individual
BETHANY H CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162605
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
S.2208488
OH
104100000X
Social Worker
Primary
S.2208488
OH
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405044
—
OH
Enumeration date
05/26/2020
Last updated
05/29/2026
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