Individual
MARTHA ELLEN BEAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
1431 N LAKE DR, LEXINGTON, SC 29072-7651
(803) 808-9623
Mailing address
1431 N LAKE DR, LEXINGTON, SC 29072-7651
(803) 808-9623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4709
SC
106H00000X
Marriage & Family Therapist
Primary
4482
SC
Other
Enumeration date
05/17/2007
Last updated
05/20/2011
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