Individual
MATTHEW BEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCHMC-A, LCAS
Contact information
Practice address
4 REVONDA DR, WOODFIN, NC 28804-3013
(858) 335-5826
Mailing address
4 REVONDA DR, WOODFIN, NC 28804-3013
(858) 335-5826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26771
NC
101YM0800X
Mental Health Counselor
A16115
NC
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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