| NPI | 1376522060 |
|---|---|
| Doing Business As | BETHESDA CHRISTIAN COUNSELING MIDWEST |
| Doing Business As | BETHESDA CHRISTIAN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | STACEY A EETEN Credentialing Coordinator 605-334-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 2080) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 00291) |
| 101YM0800X Counselor, Mental Health (Licence: IA 001072) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 001696) | |
| 101YP2500X Counselor, Professional (Licence: SD 7288) | |
| 103T00000X Psychologist (Licence: MN LP2939) | |
| 103T00000X Psychologist (Licence: SD 446) | |
| 104100000X Social Worker (Licence: SD 673) | |
| 104100000X Social Worker (Licence: SD 947) | |
| 104100000X Social Worker (Licence: IA 06042) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 085016) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 086471) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 27059) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-08-12 |