Individual provider · Type 1 NPI
Octavia Beal
Professional Counselor · Canton, MI
NPI number
1962092254
Active
Practice location
42513 Ashley Ct
Canton, MI 48187-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401018633 (MI) |
Professional Counselor: Definition to come...
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About NPI 1962092254
Octavia Beal's National Provider Identifier is 1962092254, issued on Jan 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canton, MI. The record was last updated on Jan 21, 2021.