Individual
JOHN L BEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
324 GANNETT DR STE 300, SOUTH PORTLAND, ME 04106-3269
(207) 771-5713
(207) 771-5755
Mailing address
324 GANNETT DR STE 300, SOUTH PORTLAND, ME 04106-3269
(207) 771-5713
(207) 771-5755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6131
ME
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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