Individual
MR. JAMES EDWARD BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLPC,NCC,AODA
Contact information
Practice address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549
(248) 406-0090
Mailing address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549
(248) 406-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401014162
MI
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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