Individual provider · Type 1 NPI
Bethany Lyn Iliff
Addiction (Substance Use Disorder) Counselor · St. Peter, MN
NPI number
1043783004
Active
Practice location
320 Sunrise Dr Ste B
St. Peter, MN 56082-1353
Fax (507) 931-0934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043783004
Bethany Lyn Iliff's National Provider Identifier is 1043783004, issued on Jan 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Peter, MN. The record was last updated on Jan 2, 2019.