| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BETHANY SANDERSON | 1699257204 | 2024-03-10 |
Bethany Sanderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699257204. Registration indicates Bethany Sanderson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Bethany Sanderson LCMHC |
| Practice Office Address | 822 S 1040 W # 3B PAYSON, UT US |
| Practice Office Telephone | 8016092448 |
| Mailing Address | 822 S 1040 W # 3B PAYSON, UT 846514614 US |
| Business Telephone | 8016092448 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1172 E 100 N Ste 10 | Payson, UT 846511691 | 8016585089 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 11985385-6009
UT |