Individual
BEVERLY LILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC - ASSOCIATE
Contact information
Practice address
121 S MAIN ST STE CALDWELL, CALDWELL, TX 77836-1741
(979) 406-0464
Mailing address
535 COUNTY ROAD 208, CALDWELL, TX 77836-5226
(979) 406-0464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
93107
TX
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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