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Individual

BETHANY JOY NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSWAIC, SUDP

Contact information

Practice address
888 S HILLHURST RD, RIDGEFIELD, WA 98642-9063
(360) 857-0007
Mailing address
2108 NW 140TH ST, VANCOUVER, WA 98685-1827
(360) 513-9141

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61146642
WA
101YM0800X
Mental Health Counselor
SC61189456
WA

Other

Enumeration date
08/06/2021
Last updated
08/07/2021
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