Decollibus, Bethany Jane

Decollibus, Bethany Jane is an sole proprietor health care provider with primary practice located at 182 Summer St # 226 , Kingston MA 02364-1277. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Decollibus, Bethany Jane can be contacted via phone (781) 312-8779.

Contact Information

Primary practice address
182 Summer St # 226 Kingston MA 02364-1277
Phone: (781) 312-8779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1678 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT00169 Rhode Island

Profile Details

NPI number 1114303898
LBN Legal business name Decollibus, Bethany Jane
Credentials M.S. LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2015
Last updated Mar 15th, 2021 - about 4 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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