Individual
CHAD BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
901 WALLACE BLVD, AMARILLO, TX 79106-1705
(806) 364-6111
Mailing address
901 WALLACE BLVD, AMARILLO, TX 79106-1705
(806) 364-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15841
TX
101YP2500X
Professional Counselor
Primary
15841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028935701
—
TX
Enumeration date
06/06/2006
Last updated
11/28/2023
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