Individual
DONNA B BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19815 BAY BRANCH RD, ANDALUSIA, AL 36420-9234
(334) 222-2525
(334) 222-4660
Mailing address
284 COUNTRY LN, LUVERNE, AL 36049-7201
(334) 335-3805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1683
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-14728
UBH PLUS
AL
01
—
62-31728
UBH BASIC
AL
Enumeration date
04/17/2007
Last updated
07/08/2007
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