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Individual

MRS. BEVERLY JEAN GARRIGUES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MFCC

Contact information

Practice address
28936 OLD TOWN FRONT ST, SUITE 106, TEMECULA, CA 92590-2890
(951) 695-3382
(951) 695-3188
Mailing address
28936 OLD TOWN FRONT ST, SUITE 106, TEMECULA, CA 92590-2890
(951) 695-3382
(951) 695-3188

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC25490
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EPS000420
CA
Enumeration date
10/10/2005
Last updated
07/09/2007
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