Individual provider · Type 1 NPI

Mary Beavers, LPC

Professional Counselor · Dalton, GA

NPI number 1639603129 Active

Practice location

2615 Cleveland Hwy
Dalton, GA 30721-8160

Mailing address

1401 Applewood Dr, Suite 1
Dalton, GA 30720-2699

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC001997 (GA)

Professional Counselor: Definition to come...

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About NPI 1639603129

Mary Beavers, LPC's National Provider Identifier is 1639603129, issued on Apr 12, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dalton, GA. The record was last updated on Apr 12, 2017.