Individual provider · Type 1 NPI

Larry Beverly Ii

Mental Health Counselor · Putnam, CT

NPI number 1801233689 Active

Practice location

391 Pomfret St
Putnam, CT 06260-1852

Fax (860) 963-6764

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801233689

Larry Beverly Ii's National Provider Identifier is 1801233689, issued on Jun 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Putnam, CT. The record was last updated on Jun 3, 2013.