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Marisa Renee Bethel
Addiction (Substance Use Disorder) Counselor in East Peoria, Illinois
NPI 1376214460

Marisa Renee Bethel is an Addiction (Substance Use Disorder) Counselor based in Pekin, IL and is specialized in Addiction (Substance Use Disorder). Marisa Renee Bethel practices in East Peoria, IL. The NPI Number for Marisa Renee Bethel is 1376214460 and holds a License No. (Illinois).

The current practice location address for Marisa Renee Bethel is 111 W Washington St, East Peoria, IL and can be reached out via phone at 309-694-6462.

Location: 111 W Washington St, East Peoria, IL, 61554-6274
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Provider Profile Details
NPI Number
1376214460
Provider Name
Marisa Renee Bethel
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 W Washington St, East Peoria, IL, 61554-6274
Phone Number
309-694-6462
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 TAXONOMY
institution
Provider Business Practice Location Address Details
Address
111 W Washington St
City
State
Zip
61611-2532
Phone Number
309-694-6462
Fax Number
person
Provider Business Mailing Address Details
Address
111 W Washington St
City
State
Zip
61611-2532
Phone Number
309-694-6462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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