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Individual

MATTHEW BEEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
11166 FAIRFAX BLVD STE 207, FAIRFAX, VA 22030-5017
(703) 397-8163
Mailing address
7222 JILLSPRING CT, SPRINGFIELD, VA 22152-3608

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015871
VA
101YP2500X
Professional Counselor
Primary
0701016104
VA
390200000X
Student in an Organized Health Care Education/Training Program
0704015871
VA

Other

Enumeration date
05/31/2023
Last updated
04/21/2026
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