Individual
BETHANY ROSE MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 TOLLEY DR, BRIDGEPORT, WV 26330-1668
(681) 214-1418
Mailing address
557 RANCH RD, FAIRMONT, WV 26554-5694
(304) 672-0966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
07/12/2024
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