Individual provider · Type 1 NPI

Beverly Dyshanne Booker, LCMHA

Professional Counselor · Winston Salem, NC

NPI number 1083436018 Active

Practice location

3333 Brookview Hills Blvd Ste 205
Winston Salem, NC 27103-5661

Fax (336) 232-1436

Mailing address

351 Glendare Ct
Winston Salem, NC 27104-4735

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA20095 (NC)

Professional Counselor: Definition to come...

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About NPI 1083436018

Beverly Dyshanne Booker, LCMHA's National Provider Identifier is 1083436018, issued on Oct 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 30, 2024.