Individual
BETHANY ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 S. NATIONAL AVE, 104, SPRINGFIELD, MO 65804-4807
(417) 597-4572
(417) 882-1507
Mailing address
3050 S NATIONAL AVE, 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
(417) 882-1507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
01/12/2015
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