Individual
BETHANY LEANDRA LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
7529 WARREN SHARON RD, BROOKFIELD, OH 44403-9796
(740) 415-1138
Mailing address
780 GREGG ST, WASHINGTON COURT HOUSE, OH 43160-1564
(740) 313-7513
(740) 313-7514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
187746
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
10/15/2024
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