Individual
BETHANY NICHOLE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2330 MEADOW PARK DR, GREEN BAY, WI 54311-6941
(920) 490-4699
Mailing address
4312 PITTCO RD, GREEN BAY, WI 54313-8759
(920) 501-0670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8141-266
WI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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