Individual
DR. BEVERLY MUSTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 HOPKINS DR W, BRADENTON, FL 34207-4736
(941) 755-1795
Mailing address
2019 HOPKINS DR W, BRADENTON, FL 34207-4736
(941) 755-1795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10950
FL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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