NPI Profile for DANIEL R BEAM in FORT STEWART, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| NPI Number | 1962508986 |
|
| Status | Active | |
| Credentials | LPC, MAC | |
| Entity | Individual | |
| Enumeration date | 09/16/2006 | |
| Last updated | 11/10/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DANIEL R BEAM
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