Provider Demographics
NPI:1003536756
Name:PEREZ-FEBLES, BETHANY JOAN (LCPC-CC)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:JOAN
Last Name:PEREZ-FEBLES
Suffix:
Gender:F
Credentials:LCPC-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STOWELL BROOKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6138
Mailing Address - Country:US
Mailing Address - Phone:207-649-4878
Mailing Address - Fax:
Practice Address - Street 1:80 LAKE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-4712
Practice Address - Country:US
Practice Address - Phone:207-786-4498
Practice Address - Fax:207-783-9949
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional