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Individual
JENNIFER R BEVINGTON
Active
Individual
JENNIFER R BEVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801088064
MI
101YM0800X
Mental Health Counselor
Primary
6801088064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
01/11/2007
Last updated
05/22/2014
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