Individual
BEVERLY JO BEJARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0702007
AR
101YP2500X
Professional Counselor
Primary
P1006044
AR
163W00000X
Registered Nurse
R81312
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
08/06/2008
Last updated
04/06/2016
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