Individual
BETHANY ELIZABETH REISTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CPC-I, LCADC-I
Contact information
Practice address
714 E SAHARA AVE, LAS VEGAS, NV 89104-2942
(702) 369-8700
Mailing address
714 E SAHARA AVE, LAS VEGAS, NV 89104-2942
(702) 369-8700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5571
NV
106S00000X
Behavior Technician
106S00000X
NV
Other
Enumeration date
01/25/2021
Last updated
07/14/2025
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