Individual
BEVERLY DENISE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMFT, LADC
Contact information
Practice address
11280 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 600-6281
(763) 400-7444
Mailing address
11280 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 600-6281
(763) 400-7444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1074I
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
304551
MN
106H00000X
Marriage & Family Therapist
Primary
3332
MN
106H00000X
Marriage & Family Therapist
MI0307
NV
Other
Enumeration date
05/23/2013
Last updated
02/11/2019
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