Individual provider · Type 1 NPI

Bethy Mae Annsa

Mental Health Counselor · Gresham, OR

NPI number 1891137816 Active

Practice location

801 NW Wallula Ave
Gresham, OR 97030-5455

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891137816

Bethy Mae Annsa's National Provider Identifier is 1891137816, issued on Jul 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Jul 18, 2013.