Individual
BETHANY RAY WITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
75 CAVALIER BLVD STE 218, FLORENCE, KY 41042-3958
(859) 287-4072
Mailing address
75 CAVALIER BLVD STE 109, FLORENCE, KY 41042-3900
(859) 287-4072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
287350
KY
101YM0800X
Mental Health Counselor
Primary
287350
KY
Other
Enumeration date
08/25/2023
Last updated
11/06/2023
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