Individual provider · Type 1 NPI
Mary Anne Bevil, LCDC
Addiction (Substance Use Disorder) Counselor · Beaumont, TX
NPI number
1053052597
Active
Practice location
4673 Washington Blvd
Beaumont, TX 77707-4330
Fax (409) 840-9366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15350 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053052597
Mary Anne Bevil, LCDC's National Provider Identifier is 1053052597, issued on Apr 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaumont, TX. The record was last updated on Apr 6, 2022.