Individual
CARSON BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
(740) 622-0210
Mailing address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
(740) 622-0210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183191
OH
Other
Enumeration date
06/21/2022
Last updated
08/28/2025
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