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Bethany Felisa Miracle-larson, RESIDENT
Counselor in Bel Air, Maryland
NPI 1558752626

Bethany Felisa Miracle-larson is a Counselor based in Bel Air, MD. Bethany Felisa Miracle-larson practices in Bel Air, MD and has the professional credentials of RESIDENT. The NPI Number for Bethany Felisa Miracle-larson is 1558752626 and holds a License No. 0704010024 (Maryland).

The current practice location address for Bethany Felisa Miracle-larson is 1208 E Churchville Rd Ste 300, Bel Air, MD and can be reached out via phone at 410-893-4600 and via fax at 410-995-7846.

Location: 1208 E Churchville Rd Ste 300, Bel Air, MD, 21014-3485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558752626
Provider Name
Bethany Felisa Miracle-larson
Credential
RESIDENT
Provider Entity Type
Individual
Gender
Female
Address
1208 E Churchville Rd Ste 300, Bel Air, MD, 21014-3485
Phone Number
410-893-4600
Fax Number
410-995-7846
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1208 E Churchville Rd Ste 300
City
Bel Air
State
Maryland
Zip
21014-3485
Phone Number
410-893-4600
Fax Number
410-995-7846
person
Provider Business Mailing Address Details
Address
1208 E Churchville Rd Ste 300
City
Bel Air
State
Maryland
Zip
21014-3485
Phone Number
410-893-4600
Fax Number
410-995-7846
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0704010024 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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