Individual
MS. BEVERLY JUNE STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, LCDC
Contact information
Practice address
2401 MUSTANG DR, SUITE 200, GRAPEVINE, TX 76051-8640
(817) 481-7474
(817) 416-0900
Mailing address
2401 MUSTANG DR, SUITE 200, GRAPEVINE, TX 76051-8640
(817) 481-7474
(817) 416-0900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2516
TX
101YP2500X
Professional Counselor
Primary
10285
TX
106H00000X
Marriage & Family Therapist
2862
TX
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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