Individual
JUDITH CAVAZOS-BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
8120 PENN AVE S STE 270, BLOOMINGTON, MN 55431-1320
(800) 336-5973
(612) 234-4689
Mailing address
8120 PENN AVE S STE 270, BLOOMINGTON, MN 55431-1320
(800) 336-5973
(612) 234-4689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302000
—
106H00000X
Marriage & Family Therapist
Primary
2206
MN
Other
Enumeration date
04/19/2007
Last updated
12/04/2023
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