Individual
CHAD HUNTER BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
8309 KEY PENINSULA HWY N, LAKEBAY, WA 98349-9326
(253) 884-3644
Mailing address
8309 KEY PENINSULA HWY N, LAKEBAY, WA 98349-9326
(253) 884-3644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51539220
BCBS
AL
Enumeration date
02/20/2007
Last updated
06/07/2012
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