Individual
CHLOE MERRITT BETHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 DURHAM CHAPEL HILL BLVD STE 210, DURHAM, NC 27707-2646
(919) 443-9905
(984) 888-0913
Mailing address
2624 CHAPEL HILL RD APT A, DURHAM, NC 27707-1958
(843) 991-9074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25653
NC
1041C0700X
Clinical Social Worker
Primary
P014215
NC
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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