Individual
CHERYL BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLCP, M. ED, CIT
Contact information
Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
(337) 514-5182
Mailing address
116 RESERVE DRIVE, APT 411, LAFAYETTE, LA 70503-3545
(318) 237-1017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
05/25/2021
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