Individual
BETHANY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Mailing address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
09/08/2016
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