Individual
MR. TIMOTHY BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2408 S 51ST CT STE G, FORT SMITH, AR 72903-3666
(479) 323-2424
Mailing address
2710 YORKTOWN CIR, FORT SMITH, AR 72903-5136
(479) 629-2453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2307015
AR
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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