Individual
BEVERLY BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 W 800 S, ROOSEVELT, UT 84066-3707
(435) 725-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
08/11/2016
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