Individual
ERIC J BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAADC
Contact information
Practice address
2330 SCENIC HWY S STE 111, SNELLVILLE, GA 30078-3115
(404) 895-3199
Mailing address
2330 SCENIC HWY S STE 111, SNELLVILLE, GA 30078-3115
(404) 895-3199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1766
GA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1766
DEPARTMENT HUMAN RESOURCES
GA
Enumeration date
04/13/2012
Last updated
07/21/2022
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