Individual
BETHANY RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, CCTP
Contact information
Practice address
2014 VANDALIA ST, COLLINSVILLE, IL 62234-4848
(618) 345-9536
Mailing address
1701 RIDGE AVE, GREENVILLE, IL 62246-2558
(217) 254-8057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.017739
IL
101YP2500X
Professional Counselor
Primary
180.016122
IL
Other
Enumeration date
01/06/2022
Last updated
10/04/2024
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