Individual
MS. BEVERLY DENISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
608 LAKE SHORES DR, PORTSMOUTH, VA 23707-1356
(757) 305-8815
Mailing address
608 LAKE SHORES DR, PORTSMOUTH, VA 23707-1356
(757) 305-8815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101889
VA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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