Provider Demographics
NPI:1033365317
Name:ALBRECHT, BETHANY
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:74-381 KEALAKEHE PKWY
Mailing Address - Street 2:SUITE I
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-2705
Mailing Address - Country:US
Mailing Address - Phone:808-329-6395
Mailing Address - Fax:808-329-1461
Practice Address - Street 1:74-381 KEALAKEHE PKWY
Practice Address - Street 2:SUITE I
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-2705
Practice Address - Country:US
Practice Address - Phone:808-329-6395
Practice Address - Fax:808-329-1461
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool