NPI Profile for NATHAN BEVENS in LAYTONVILLE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counselor |
101Y00000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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NATHAN BEVENS
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