Individual
EMMA CASE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5003 SOUTHPARK DR STE 240, DURHAM, NC 27713-9414
(919) 205-5065
Mailing address
5003 SOUTHPARK DR STE 240, DURHAM, NC 27713-9414
(919) 205-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21784
NC
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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