Individual
MRS. BEVERLI L. HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
211 W CHURCH ST, SANDERSVILLE, GA 31082-2301
(478) 232-2303
Mailing address
211 W CHURCH ST, SANDERSVILLE, GA 31082-2301
(478) 232-2303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10041294
AMERIGROUP
GA
Enumeration date
12/27/2006
Last updated
07/09/2007
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