Individual
MR. BEDFORD HINES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
103 W. COLLEGE AVE., SUITE 815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Mailing address
103 W. COLLEGE AVE., SUITE 815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2236125
WI
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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