Individual provider · Type 1 NPI

Frederick Beverly Jr.

Mental Health Counselor · Oakland, CA

NPI number 1861822611 Active

Practice location

4368 Lincoln Ave
Oakland, CA 94602-3314

Mailing address

1732 E 23rd St
Oakland, CA 94606-3314

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861822611

Frederick Beverly Jr.'s National Provider Identifier is 1861822611, issued on Nov 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Nov 14, 2013.