Individual
ADRIENNE KAYLE BEAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1224
Mailing address
447 DUDLEYVILLE RD, GREENVILLE, IL 62246-3857
(618) 704-8502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BEAV-FYJ3P1
IL
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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