Individual
ALICIA JEAN BEYNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC-CS
Contact information
Practice address
1495 SUNFLOWER RD, NEW CONCORD, OH 43762-9671
(855) 692-7247
(855) 692-7247
Mailing address
1495 SUNFLOWER RD, NEW CONCORD, OH 43762-9671
(877) 692-7247
(877) 692-7247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.101038-CS
OH
1041C0700X
Clinical Social Worker
Primary
I.0700055-SUPV
OH
Other
Enumeration date
02/16/2007
Last updated
05/16/2016
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