National Provider Identifier
Marisa Renee Bethel
Marisa Renee Bethel is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in East Peoria, IL and a listed phone number of (309) 694-6462.
Source: public NPPES record, last updated September 28, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1376214460
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 28, 2021
- Last Updated
- September 28, 2021
Practice Location
- 111 W Washington St
- East Peoria, IL 61611-2532
Phone: (309) 694-6462
Mailing Address
- 3248 Vandever Ave
- Pekin, IL 61554-6274
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- melanie.riley@unitypoint.org
Connect Url | Direct | East Peoria, IL 61611
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Biography
Marisa Bethel is an East Peoria, Illinois provider whose CMS profile identifies her work in addiction and substance-use counseling.
Full Record
- NPI
- 1376214460
- Entity Type
- Individual
- Last Name
- Bethel
- First Name
- Marisa
- Middle Name
- Renee
- Mailing Street Address
- 3248 Vandever Ave
- Mailing City
- Pekin
- Mailing State
- IL
- Mailing ZIP Code
- 61554-6274
- Mailing Country
- US
- Mailing Phone
- (309) 347-5522
- Practice Street Address
- 111 W Washington St
- Practice City
- East Peoria
- Practice State
- IL
- Practice ZIP Code
- 61611-2532
- Practice Country
- US
- Practice Phone
- (309) 694-6462
- Enumeration Date
- September 28, 2021
- Last Updated
- September 28, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 101YA0400X (Taxonomy)