Provider Demographics
NPI:1114334562
Name:CRAMER, BETHANY ANNE SWITTER (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANNE SWITTER
Last Name:CRAMER
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:ANNE
Other - Last Name:CRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-0533
Mailing Address - Country:US
Mailing Address - Phone:616-414-7598
Mailing Address - Fax:888-408-3103
Practice Address - Street 1:41 WASHINGTON AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1390
Practice Address - Country:US
Practice Address - Phone:616-414-7598
Practice Address - Fax:888-408-3103
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014390101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health