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Individual
MR. MICHAEL COREY BEARDEN
Active
Individual
MR. MICHAEL COREY BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
66256
TX
101YP1600X
Pastoral Counselor
66256
TX
106H00000X
Marriage & Family Therapist
66256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2951303-01
—
TX
Enumeration date
11/03/2010
Last updated
10/25/2013
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