BETHANY GILLILAND

CRESTLINE, CA
NPI1457032740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  APCC18605)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-28
Last Update Date2025-02-19
Business Address
BETHANY GILLILAND
340 HWY 138
CRESTLINE, CA 92326
Phone number: 909-273-7714
Mailing Address
BETHANY GILLILAND
PO BOX 6300
CRESTLINE, CA 92325-6300
Phone number: