Individual
WILLIAM GEORGE BEASLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 SHERWOOD RD, JACKSONVILLE, NC 28540-5534
(910) 554-7870
Mailing address
205 SHERWOOD RD, JACKSONVILLE, NC 28540-5534
(910) 554-7870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-16144
NC
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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