Lake, Bethany

Lake, Bethany is an individual health care provider with primary practice located at 220 Railroad St Se , Pine City MN 55063-1540. 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. Lake, Bethany can be contacted via phone (320) 629-7600.

Contact Information

Primary practice address
220 Railroad St Se Pine City MN 55063-1540
Phone: (320) 629-7600
Fax: (320) 629-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2468 Minnesota

Profile Details

NPI number 1972874915
LBN Legal business name Lake, Bethany
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2012
Last updated Apr 24th, 2018 - about 7 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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