Individual
MRS. BETHANY ANNE RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4774
Mailing address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164611
OH
Other
Enumeration date
10/01/2017
Last updated
07/21/2022
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