Individual
MRS. BEVERLY DYSHANNE BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHA
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD STE 205, WINSTON SALEM, NC 27103-5661
(336) 261-6440
(336) 232-1436
Mailing address
351 GLENDARE CT, WINSTON SALEM, NC 27104-4735
(336) 745-6732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20095
NC
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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