Individual
MRS. REBECCA ELAINE BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, AADC
Contact information
Practice address
5 LOWER COACH RD, HURRICANE, WV 25526-8601
(304) 562-2418
(304) 526-2638
Mailing address
5 LOWER COACH RD, HURRICANE, WV 25526-8601
(304) 562-2418
(304) 526-2638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2223
WV
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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