Individual
MR. DAVID R. BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1069 LINCOLN LK, LOWELL, MI 49331-1903
(616) 706-2521
Mailing address
11689 TJ LN, LOWELL, MI 49331-8775
(616) 706-2521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401008508
MI
101YP2500X
Professional Counselor
6401008508
MI
Other
Enumeration date
12/19/2007
Last updated
07/21/2022
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