BETHANY BERNICE DIVITA

VANCOUVER, WA
NPI1538636790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
BETHANY BERNICE DIVITA MA
1601 E FOURTH PLAIN BLVD. BLDG. 17
VANCOUVER, WA 98661
Phone number: 360-397-8246
Mailing Address
BETHANY BERNICE DIVITA MA
1601 E FOURTH PLAIN BLVD. BLDG. 17
VANCOUVER, WA 98861
Phone number: 360-397-8246
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