Individual
BEA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5022 N 54TH AVE, SUITE 4, GLENDALE, AZ 85301-7531
(623) 931-4343
Mailing address
5022 N 54TH AVE, SUITE 4, GLENDALE, AZ 85301-7531
(623) 931-4343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10601
AZ
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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