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Bethany Lantis
Mental Health Counselor in Ben Lomond, California
NPI 1548645690

Bethany Lantis is a Mental Health Counselor based in Ben Lomond, CA and is specialized in Mental Health. Bethany Lantis practices in Ben Lomond, CA. The NPI Number for Bethany Lantis is 1548645690 and holds a License No. (California).

The current practice location address for Bethany Lantis is 155 Willowbrook Dr, Ben Lomond, CA and can be reached out via phone at 831-336-5196.

Location: 155 Willowbrook Dr, Ben Lomond, CA, 95005-9714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548645690
Provider Name
Bethany Lantis
Credential
Provider Entity Type
Individual
Gender
Female
Address
155 Willowbrook Dr, Ben Lomond, CA, 95005-9714
Phone Number
831-336-5196
Fax Number
Provider Enumeration Date
07/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 Willowbrook Dr
City
Ben Lomond
State
California
Zip
95005-9714
Phone Number
831-336-5196
Fax Number
person
Provider Business Mailing Address Details
Address
155 Willowbrook Dr
City
Ben Lomond
State
California
Zip
95005-9714
Phone Number
831-336-5196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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