Individual
HAVERT BEAL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9300
(734) 850-6900
Mailing address
15480 CLOVERLAWN ST, DETROIT, MI 48238-1147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451019798
MI
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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