Johnson, Bethany
Johnson, Bethany is an sole proprietor health care provider with primary practice located at 342 North St Apt 606 , Saco ME 04072-1857. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Bethany can be contacted via phone (072) 812-4602.Contact Information
Primary practice address
342 North St Apt 606
Saco ME 04072-1857
Phone: (072) 812-4602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC5947 | Maine |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC5612 | Maine |
Profile Details
| NPI number | 1568865673 |
|---|---|
| LBN Legal business name | Johnson, Bethany |
| Credentials | LCPC, LADC, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2014 |
| Last updated | Oct 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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