Individual
JOYCE BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 W 84TH ST, INDIANAPOLIS, IN 46268-1513
(317) 522-0224
(317) 522-0248
Mailing address
PO BOX 78554, INDIANAPOLIS, IN 46278-0554
(317) 522-0224
(317) 522-0248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33007360A
IN
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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