Individual provider · Type 1 NPI
Brenda Beverly, CADC
Addiction (Substance Use Disorder) Counselor · Jackson, MI
NPI number
1043608680
Active
Practice location
1190 West, 1190 West Suite 812
Jackson, MI 49202
Fax (517) 513-3693
Mailing address
3817 Lone Pine Dr Apt 2
Holt, MI 48842-8800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2-00945 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043608680
Brenda Beverly, CADC's National Provider Identifier is 1043608680, issued on Jan 6, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MI. The record was last updated on Jan 6, 2015.