Individual
BRENT BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
218 N 4TH AVE, SUITE 211, ANN ARBOR, MI 48104-1472
(734) 531-8831
Mailing address
617 W LIBERTY ST, APT 2, ANN ARBOR, MI 48103-4384
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301014665
MI
Other
Enumeration date
09/28/2007
Last updated
03/27/2012
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