Individual provider · Type 1 NPI

Beverly A. Haverly, LCSW

Mental Health Counselor · Rice Lake, WI

NPI number 1386707115 Active

Practice location

1035 N Main St
Rice Lake, WI 54868-1260

Call (715) 234-4313 Map

Fax (715) 736-0194

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2026-123 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1386707115

Beverly A. Haverly, LCSW's National Provider Identifier is 1386707115, issued on Dec 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rice Lake, WI. The record was last updated on Jul 9, 2007.