Individual
EMILY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
67 WALNUT AVE STE 207, CLARK, NJ 07066
(512) 350-4431
Mailing address
67 WALNUT AVE STE 207, CLARK, NJ 07066-1640
(512) 350-4431
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
202676
TX
106H00000X
Marriage & Family Therapist
Primary
37FI00221100
NJ
Other
Enumeration date
07/19/2021
Last updated
10/18/2023
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