Individual
BEVEN J CASAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1726 S WASHINGTON ST STE 33A, GRAND FORKS, ND 58201-6395
(701) 746-4584
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
602-2-15-08-269
ND
101YP2500X
Professional Counselor
Primary
602-2-15-08-269
ND
Other
Enumeration date
11/16/2006
Last updated
05/05/2021
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