Organization
BEASLEY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL BEASLEY (THERAPIST)
(503) 267-7292
Entity
Organization
Contact information
Practice address
4749 CHICAGO AVE STE 2D, MINNEAPOLIS, MN 55407-4181
(612) 440-5645
Mailing address
4115 PLEASANT AVE, MINNEAPOLIS, MN 55409-1546
(503) 267-7292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19425
MN
Other
Enumeration date
05/07/2018
Last updated
11/09/2018
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