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General NPI Number Information
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NPI Number | 1700521150
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Entity Type | Individual
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Provider Name | BETHANNE FOLKS LPC, CAADC, CCDP-D
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Gender | Female
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Dates
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Enumeration Date | 04/30/2022
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2418 E YORK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3006
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 337 STONEHAVEN DR
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City | RED HILL
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State | PA
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Zip | 18076-1458
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Country | US
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Telephone | 484-948-9079
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | TPMC5347
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS0044340L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007043
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License Number State | PA
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