Individual
LAURA C. BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 BROAD ST, DURHAM, NC 27705-4833
(919) 433-1491
Mailing address
200 CLARION BRIDGEWAY, 234, MORRISVILLE, NC 27560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4304
NC
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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