Individual
MEGAN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
300 W BROADWAY STE 106, COUNCIL BLUFFS, IA 51503-9029
(712) 328-3700
Mailing address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 328-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T23020
IA
104100000X
Social Worker
Primary
118761
IA
1041C0700X
Clinical Social Worker
Primary
118761
IA
Other
Enumeration date
03/02/2023
Last updated
04/30/2026
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