Bethany Ison Licsw, Llc | |
19 E Wind Dr Plymouth MA 02360-2714 | |
(774) 343-3332 | |
Not Available |
Full Name | Bethany Ison Licsw, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 19 E Wind Dr, Plymouth, Massachusetts |
Authorized Official Name and Position | Bethany Ison (OWNER) |
Authorized Official Contact | 7743433332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bethany Ison Licsw, Llc 31 Home Depot Dr # 236 Plymouth MA 02360-2669 Ph: (774) 343-3332 | Bethany Ison Licsw, Llc 19 E Wind Dr Plymouth MA 02360-2714 Ph: (774) 343-3332 |
NPI Number | 1275214629 |
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Provider Enumeration Date | 07/28/2023 |
Last Update Date | 07/28/2023 |
Certification Date | 07/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275214629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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