Individual
JOHN BEALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
102 E NORTH ST, CORTEZ, CO 81321-3227
(970) 236-6405
Mailing address
27975 ROAD H.6, CORTEZ, CO 81321-9127
(317) 946-8311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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