Individual
CHYANE LEIANN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RACC, CPC
Contact information
Practice address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(360) 827-5220
Mailing address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(360) 749-0177
(360) 423-5128
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1831858216
WA
Other
Enumeration date
12/13/2021
Last updated
03/27/2025
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