William Glenn Beasley, L.P.C.,N.C.C.,M.A.C.

NPI #1003968165 in Atlanta, Georgia

Provider Information

NPI Number
1003968165
Entity Type
Individual
Name
William Glenn Beasley, L.P.C.,N.C.C.,M.A.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
L.P.C.,N.C.C.,M.A.C.
Enumeration Date
Jan 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1261 LAVISTA RD NE
Address 2
UNIT E-8
State
Georgia
ZIP Code
30324-3854
Phone
(404) 633-7971

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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