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General NPI Number Information
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NPI Number | 1295619716
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Entity Type | Individual
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Provider Name | MARY BETH WESTERGREN LCPC,LMHC,LPC,LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 4201 W FRIAR DR
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City | MUNCIE
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State | IN
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Zip | 47304-2483
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Country | US
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Telephone | 765-283-5382
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 W FRIAR DR
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City | MUNCIE
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State | IN
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Zip | 47304-2483
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Country | US
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Telephone | 765-283-5382
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.011330
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39003983A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401225425
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2404747
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License Number State | OH
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