Individual
NICOLE BEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26-03-20711
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
26-QMHA-I-005573
OR
Other
Enumeration date
12/11/2023
Last updated
04/17/2026
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