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Individual
MR. DAVID BEASLEY
Active
Individual
MR. DAVID BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH9493
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH9493
FL
101YM0800X
Mental Health Counselor
Primary
MH9493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002547700
—
FL
Enumeration date
10/25/2010
Last updated
10/30/2013
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