Individual
MR. COLIN ROBERT BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
108972
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/23/2012
Last updated
09/20/2022
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