Individual provider · Type 1 NPI
Mark Brian Beathard
Addiction (Substance Use Disorder) Counselor · Westland, MI
NPI number
1336677533
Active
Practice location
8623 N. Wayne Road, Suite 310, Adult Outpatient Services For Smi
Westland, MI 48185
Mailing address
P. O. Box 79
Lincoln Park, MI 48146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | B363585098663 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336677533
Mark Brian Beathard's National Provider Identifier is 1336677533, issued on Jun 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Westland, MI. The record was last updated on Jun 1, 2017.