Individual
BETHANY MARIE HENTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 747-3480
Mailing address
1700 GAUCHO CT, LONGMONT, CO 80504-8211
(303) 747-3480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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