Individual provider · Type 1 NPI
Ethel Bethea, LADC
Addiction (Substance Use Disorder) Counselor · New Haven, CT
NPI number
1033402045
Active
Practice location
121 Rosette St
New Haven, CT 06519-2427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000836 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033402045
Ethel Bethea, LADC's National Provider Identifier is 1033402045, issued on May 24, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Haven, CT. The record was last updated on May 24, 2011.