Individual
CHARLES W. BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
3000 LENHART RD, SPRINGFIELD, IL 62711-9203
(217) 698-7150
(217) 698-7085
Mailing address
705 W MASONIC ST, APT A, EDINBURG, IL 62531-9613
(217) 698-7150
(217) 698-7085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7708
NE
101YP2500X
Professional Counselor
Primary
180007424
IL
Other
Enumeration date
08/25/2006
Last updated
03/15/2016
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