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1689035123
BETHANY LYNNE LIVINGSTON
TITUSVILLE, FL
NPI
1689035123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14088)
Enumeration Date
2016-03-11
Last Update Date
2019-08-28
Business Address
BETHANY LYNNE LIVINGSTON LMHC
5095 S WASHINGTON AVE STE 102
TITUSVILLE, FL 32780-7333
Phone number: 321-252-8485
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Mailing Address
BETHANY LYNNE LIVINGSTON LMHC
915 BREAKAWAY TRL
TITUSVILLE, FL 32780-3263
Phone number: 321-210-5562
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