Individual
MS. TAMMY MARIE BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4910 PRINCE GEORGE DR, PRINCE GEORGE, VA 23875-2621
(804) 541-8660
(804) 452-4143
Mailing address
PO BOX 1118, PRINCE GEORGE, VA 23875-1081
(804) 541-8660
(804) 452-4143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013714
VA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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