Individual
BETHANY ANNE CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
189 W CLARKSTON RD, LAKE ORION, MI 48362-2892
(248) 989-6128
Mailing address
2450 PERRY LAKE RD, ORTONVILLE, MI 48462-9210
(248) 989-6128
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6361007786
MI
Other
Enumeration date
01/27/2021
Last updated
08/06/2024
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