Beverly Mix, LPC

NPI #1255583175 in Douglas, Wyoming

Provider Information

NPI Number
1255583175
Entity Type
Individual
Name
Beverly Mix, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Oct 22, 2008
Last Updated
Oct 22, 2008

Practice Location

Address
1841 MADORA AVE
State
Wyoming
ZIP Code
82633-3057
Phone
(307) 358-2792

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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Provider Name
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