Individual
MRS. CONNIE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1002 TEXAS BLVD, SUITE 320, TEXARKANA, TX 75501-5107
(903) 831-7585
Mailing address
PO BOX 6800, LONGVIEW, TX 75608-6800
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11185
TX
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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