Individual
LYNETTE MICHELLE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7391686-3503
UT
1041C0700X
Clinical Social Worker
Primary
7391686-3502
UT
Other
Enumeration date
02/24/2011
Last updated
08/29/2014
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