Individual
BETHANY LANIS ZELADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LADC LPCC
Contact information
Practice address
611 BIELENBERG DR STE 109, WOODBURY, MN 55125-1431
(651) 764-7023
(651) 666-1612
Mailing address
611 BIELENBERG DR STE 109, WOODBURY, MN 55125-1431
(651) 764-7023
(651) 666-1612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305608
MN
101YP2500X
Professional Counselor
Primary
3320
MN
Other
Enumeration date
05/11/2022
Last updated
07/24/2025
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