Willis, Bethany D'Aun
Willis, Bethany D'Aun is an individual health care provider with primary practice located at 184 Unser Blvd Ne , Rio Rancho NM 87124-4045. 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. Willis, Bethany D'Aun can be contacted via phone (505) 896-0928.Contact Information
Primary practice address
184 Unser Blvd Ne
Rio Rancho NM 87124-4045
Phone: (505) 896-0928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0795 | Oregon |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF60309365 | Washington |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | CMF0218751 | New Mexico |
Profile Details
| NPI number | 1619113420 |
|---|---|
| LBN Legal business name | Willis, Bethany D'Aun |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2008 |
| Last updated | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619113420 | NPPES |
| Washington | MEDICAID | 2091942 |
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