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Individual
COREEN M BEASLEY
Active
Individual
COREEN M BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
107569
CA
106H00000X
Marriage & Family Therapist
Primary
128201
CA
106H00000X
Marriage & Family Therapist
LCM1022
MD
106H00000X
Marriage & Family Therapist
—
NULL
Other
Enumeration date
09/19/2007
Last updated
08/03/2026
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