Individual
BRIAN BEVERLY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 W MORRIS AVE, HAMMOND, LA 70403-4150
(985) 402-3698
Mailing address
42029 GARDENS BLVD, UNIT B, HAMMOND, LA 70403-1379
(985) 415-1739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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