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Contact Information

NATHAN BEVENS
50 BRANSCOMB RD
LAYTONVILLE, CA95454
 Phone: 707-984-6131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for NATHAN BEVENS · (Male)

NPI # 1003356791
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2017
Last updated 01/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 75856
Hospital affiliation(s) Not Available
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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