Individual
MRS. BETHANY FELICITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 759-9402
(315) 539-1054
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 759-9402
(315) 539-1054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004354-01
NY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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