Individual
MR. BARRY BRENT BEALE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1850 S MIDLOTHIAN PKWY, MIDLOTHIAN, TX 76065-7581
(972) 775-9050
(972) 775-9000
Mailing address
PO BOX 175, MANSFIELD, TX 76063-0175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68817
TX
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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