National Provider Identifier Database

JONATHAN C BEAZLEY
Marriage & Family Therapist

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.


Contact Information

JONATHAN C BEAZLEY
384 MERROW RD STE D
TOLLAND, CT06084-3957
Phone: 860-875-2578
Fax:
Website:
Specialty Taxonomy Code
* Marriage & Family Therapist 106H00000X

* Indicates primary specialty

NPI Profile & details for JONATHAN C BEAZLEY

NPI Number 1619185469
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 10/09/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 000631
  • CT Other: 410000631CT02 ANTHEM BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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