Individual provider · Type 1 NPI
Bethany Tennant, MS, CRC, LPCA
Professional Counselor · Wilmington, NC
NPI number
1053974428
Active
Practice location
1104 Cheryl Ln
Wilmington, NC 28405-1253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | A14507 (NC) |
| Professional Counselor Primary | 101YP2500X | A14507 (NC) |
Professional Counselor: Definition to come...
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About NPI 1053974428
Bethany Tennant, MS, CRC, LPCA's National Provider Identifier is 1053974428, issued on Apr 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, NC. The record was last updated on Apr 20, 2019.