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1962087114
JONATHAN RYAN BETHEL
COSTA MESA, CA
NPI
1962087114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 107684)
Enumeration Date
2021-03-09
Last Update Date
2022-06-06
Business Address
JONATHAN RYAN BETHEL LCSW # 107684
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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Mailing Address
JONATHAN RYAN BETHEL LCSW # 107684
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
Copy
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