Individual
MRS. AMBER BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
(850) 892-8035
(850) 892-8074
Mailing address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH10797
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
12/15/2011
Last updated
12/15/2011
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