Individual
CAROLYN CORRINA BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 COLONIAL RD STE 1002222, FORT PIERCE, FL 34950-5309
(772) 489-4726
Mailing address
2222 COLONIAL RD STE 1002222, FORT PIERCE, FL 34950-5309
(772) 489-4726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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