Individual
MARY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2615 CLEVELAND HWY, DALTON, GA 30721-8160
(706) 270-5000
Mailing address
1401 APPLEWOOD DR, SUITE 1, DALTON, GA 30720-2699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001997
GA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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