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Individual
TRISTA BEAVERS
Active
Individual
TRISTA BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCM I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
02/12/2018
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