Individual
MARTHA ROSE HALL BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1805 N 1200 E, HEBER CITY, UT 84032-3404
(719) 644-6950
Mailing address
1805 N 1200 E, HEBER CITY, UT 84032-3404
(719) 644-6950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14230500-6004
UT
101YP2500X
Professional Counselor
Primary
0020883
CO
Other
Enumeration date
07/18/2019
Last updated
04/15/2026
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