Individual
DR. LISA ANN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC,, MHSP
Contact information
Practice address
1231 A 17TH AVE S., NASHVILLE, TN 37212
(615) 364-7776
Mailing address
PO BOX 543, BRENTWOOD, TN 37024-0543
(615) 364-7776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1792
TN
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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