JONATHAN RYAN BETHEL

COSTA MESA, CA
NPI1962087114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  107684)
Enumeration Date2021-03-09
Last Update Date2022-06-06
Business Address
JONATHAN RYAN BETHEL LCSW # 107684
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
Mailing Address
JONATHAN RYAN BETHEL LCSW # 107684
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734