Individual provider · Type 1 NPI
Beverly Mix, LPC
Mental Health Counselor · Douglas, WY
NPI number
1255583175
Active
Practice location
1841 Madora Ave
Douglas, WY 82633-3057
Fax (307) 258-5329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC (WY) |
| Mental Health Counselor Primary | 101YM0800X | LPC (WY) |
Mental Health Counselor: Definition to come...
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About NPI 1255583175
Beverly Mix, LPC's National Provider Identifier is 1255583175, issued on Oct 22, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Douglas, WY. The record was last updated on Oct 22, 2008.