Individual
BEVERLY SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26515 OAK RIDGE DR, THE WOODLANDS, TX 77380-1966
(281) 419-1080
(281) 419-0357
Mailing address
26515 OAK RIDGE DR, THE WOODLANDS, TX 77380-1966
(281) 419-1080
(281) 419-0357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
04136
TX
1041C0700X
Clinical Social Worker
Primary
04136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000S38L
BC BS TEXAS
TX
Enumeration date
04/09/2007
Last updated
01/16/2015
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