Individual
ADRIA BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
622 DAVIS ST # 200, EVANSTON, IL 60201-4491
(773) 294-0176
Mailing address
3713 N RACINE AVE APT 1, CHICAGO, IL 60613-7450
(401) 855-7552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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