Individual
BEVERLY ANN CONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
2708 OLD STAGE RD, CENTRAL POINT, OR 97502-1372
(541) 778-8149
Mailing address
2708 OLD STAGE RD, CENTRAL POINT, OR 97502-1372
(541) 778-8149
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT TO813
OR
106H00000X
Marriage & Family Therapist
MFT24851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT 24851
CA MFT LICENSE #
CA
01
—
MFT TO813
OR MFT LICENSE #
OR
Enumeration date
05/07/2015
Last updated
05/07/2015
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