Individual
BLAKE BEAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2525 W CAREFREE HWY STE 102, PHOENIX, AZ 85085-9302
(623) 432-8066
Mailing address
2525 W CAREFREE HWY STE 102, PHOENIX, AZ 85085-9302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20282
AZ
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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