Individual
MR. MARK ALAN BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
320 VICTORY HOME LN, CLARKESVILLE, GA 30523
(706) 754-6030
Mailing address
226 PEACHTREE ST, COLBERT, GA 30628-2831
(706) 202-9185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC011813
COMPOSITE BOARD OF PROFESSIONAL COUNSELORS
GA
Enumeration date
10/21/2020
Last updated
10/21/2020
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