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Individual
VICKIE ANNETTE BEAVERS
Active
Individual
VICKIE ANNETTE BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18117
TX
106H00000X
Marriage & Family Therapist
005077-005716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011613
—
TN
01
—
6518LC
BCBS
TX
Enumeration date
08/02/2006
Last updated
09/11/2025
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