Individual
MS. ENJOLI N BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 N VALENTINE AVE, FRESNO, CA 93722-4148
(559) 241-0955
Mailing address
4285 N VALENTINE AVE, FRESNO, CA 93722-4148
(559) 241-0955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
COUNSELOR
CA
Enumeration date
01/22/2019
Last updated
06/11/2019
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