Individual
CHRIS BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1605B E SHOTWELL ST, BAINBRIDGE, GA 39819-4347
(229) 243-1633
Mailing address
1605B E SHOTWELL ST, BAINBRIDGE, GA 39819-4347
(229) 243-1633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004327
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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