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Individual

BETHANY L OUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 CHAMBER CENTER DR STE 301, LAKESIDE PARK, KY 41017-1604
(270) 839-2040
Mailing address
2500 CHAMBER CENTER DR STE 301, LAKESIDE PARK, KY 41017-1604
(270) 839-2040

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
256380
KY

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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