Individual
BETHANY MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLPC
Contact information
Practice address
46972 BARTLETT DR, CANTON, MI 48187-1409
(734) 709-8422
Mailing address
46972 BARTLETT DR, CANTON, MI 48187-1409
(734) 709-8422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
MI
Other
Enumeration date
07/25/2018
Last updated
12/30/2024
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