Individual
RENEE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 LAKE HARBOR RD, BRANDON, MS 39047
(720) 254-1661
Mailing address
367 LAKE HARBOR RD, BRANDON, MS 39047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0019914
CO
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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