Individual
DANIELLE BEVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
1304 1ST AVENUE CIR NE, KASSON, MN 55944-1609
(507) 456-6606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC00730
MN
101YP2500X
Professional Counselor
Primary
CC00730
MN
103TC0700X
Clinical Psychologist
CC00730
MN
Other
Enumeration date
04/03/2014
Last updated
12/06/2023
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