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Carolyn Corrina Bethel

Counselor, Mental Health in Fort Pierce, FL. Individual provider (NPI-1).

NPI number1962024232
StatusActive
Last updated in NPPESMay 10, 2020

Details

NPI
1962024232
Entity type
Individual (NPI-1)
Name
Carolyn Corrina Bethel
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2020
Certification date
May 10, 2020
Last updated
May 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2222 Colonial Rd Ste 1002222
Fort Pierce, FL 34950-5309

Phone 772-489-4726

Mailing address

2222 Colonial Rd Ste 1002222
Fort Pierce, FL 34950-5309

Phone 772-489-4726

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