Individual
BEVERLY DENISE THOMAS-MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
6700 INDIANA AVE STE 165, RIVERSIDE, CA 92506-4248
(951) 456-3930
(951) 456-3939
Mailing address
6700 INDIANA AVE STE 165, RIVERSIDE, CA 92506-4248
(951) 456-3939
(951) 456-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649417049
MEDI-CAL
CA
05
—
1649417049
—
CA
Enumeration date
01/07/2009
Last updated
05/31/2019
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