person
Bethany Bernice Divita, MA
Mental Health Counselor in Vancouver, Washington
NPI 1538636790

Bethany Bernice Divita is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Bethany Bernice Divita practices in Vancouver, WA and has the professional credentials of MA. The NPI Number for Bethany Bernice Divita is 1538636790 and holds a License No. (Washington).

The current practice location address for Bethany Bernice Divita is 1601 E Fourth Plain Blvd., Vancouver, WA and can be reached out via phone at 360-397-8246.

Location: 1601 E Fourth Plain Blvd., Vancouver, WA, 98861
person
Provider Profile Details
NPI Number
1538636790
Provider Name
Bethany Bernice Divita
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd., Vancouver, WA, 98861
Phone Number
360-397-8246
Fax Number
Provider Enumeration Date
10/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd.
City
State
Zip
98661
Phone Number
360-397-8246
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd.
City
State
Zip
98661
Phone Number
360-397-8246
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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