Individual
ERIN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9597
Mailing address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
07/23/2024
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