MS. KRISTEN A BETHKE LCPC
NPI 1457413270
Counselor - Professional in Granite City, IL
- Individual
- Female
- Counselor
- Professional
About KRISTEN BETHKE
This page provides the complete NPI Profile along with additional information for Kristen Bethke, a provider established in Granite City, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1457413270 assigned on December 2006. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1457413270 Verify this NPI
- Provider Name
- MS. KRISTEN A BETHKE LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1635 W 1ST ST SUITE 107 GRANITE CITY, IL 62040
- Location Phone
- (618) 304-7277
- Mailing Address
- 1635 W 1ST ST SUITE 107 GRANITE CITY, IL 62040
- Mailing Phone
- (618) 304-7277
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-15-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457413270, enumerated as an "individual" on December 15, 2006.
The provider is located at 1635 W 1ST ST SUITE 107 GRANITE CITY, IL 62040 and the phone number is (618) 304-7277.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
