Marisa Renee Bethel
NPI #1376214460 in East Peoria, Illinois
Provider Information
- NPI Number
- 1376214460
- Entity Type
- Individual
- Name
- Marisa Renee Bethel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 28, 2021
- Last Updated
- Sep 28, 2021
Practice Location
- Address
- 111 W WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2532
- Phone
- (309) 694-6462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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