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Individual

MRS. KRISTY BEAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2115 CARONDELET ST, NEW ORLEANS, LA 70130-5827
(504) 371-5512
Mailing address
2115 CARONDELET ST, NEW ORLEANS, LA 70130-5827

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
10/26/2016
Last updated
04/22/2020
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