Individual
BETHANY SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1861 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 320-1528
Mailing address
1861 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 320-1528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401226139
MI
101YM0800X
Mental Health Counselor
Primary
6451023027
MI
Other
Enumeration date
06/07/2024
Last updated
04/12/2026
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