Individual
MRS. BETHANY LYNN HORSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2220 S STATE ROUTE 157, SUITE 200D, GLEN CARBON, IL 62034-1724
(618) 659-5411
Mailing address
2220 S STATE ROUTE 157, SUITE 200D, GLEN CARBON, IL 62034-1724
(618) 659-5411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008108
IL
101YP2500X
Professional Counselor
2012029955
MO
Other
Enumeration date
12/20/2012
Last updated
03/01/2016
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