Individual
BETHANY LAURAL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RPT
Contact information
Practice address
1576 S 500 W STE 202, WOODS CROSS, UT 84010-7433
(801) 406-9002
Mailing address
555 E 3RD AVE, SALT LAKE CITY, UT 84103-2975
(602) 550-4686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8281717-3501
UT
Other
Enumeration date
05/18/2011
Last updated
11/30/2020
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