Individual
MS. MELISSA ELAINE BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
323 2ND ST NW, HICKORY, NC 28601-4904
(828) 855-9595
(828) 855-9599
Mailing address
PO BOX 2352, HICKORY, NC 28603-2352
(828) 855-9595
(828) 855-9599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453137563
TAX ID
NC
Enumeration date
06/22/2012
Last updated
06/22/2012
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