| NPI | 1356705222 |
|---|---|
| Former Legal Business Name | SHAWNA BETHEL, LMFT |
| Entity Type | Organization |
| Authorized Contact | SHAWNA R BETHEL Owner/Clinician 619-933-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48619) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |