Provider Demographics
NPI:1427701226
Name:BETTS, AUNDRIA KAY (BS)
Entity type:Individual
Prefix:
First Name:AUNDRIA
Middle Name:KAY
Last Name:BETTS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0854
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:509-292-4155
Practice Address - Street 1:4138 MAPLE LN
Practice Address - Street 2:
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-9044
Practice Address - Country:US
Practice Address - Phone:509-205-5559
Practice Address - Fax:509-292-4155
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health