Individual
MRS. BONNIE J BEACHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA,CAC-AD
Contact information
Practice address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(240) 313-2163
(301) 791-2252
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(240) 313-2163
(301) 791-2252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0470
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0470
ADDICTIONS COUNSELOR
MD
Enumeration date
05/02/2008
Last updated
05/02/2008
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