Individual
STUART MARTIN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO60961854
Contact information
Practice address
1415 LUMSDEN RD, PORT ORCHARD, WA 98367-9179
(360) 876-9430
Mailing address
861 MAHOGANY LN NW, SILVERDALE, WA 98383-8905
(360) 620-9505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60961854
WA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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