Beverly Michael, LISW
NPI #1336263656 in Grants, New Mexico
Provider Information
- NPI Number
- 1336263656
- Entity Type
- Individual
- Name
- Beverly Michael, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LISW
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Nov 17, 2007
Practice Location
- Address
- 1109 MESA BLVD
- Address 2
- SUITE D
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-3038
- Phone
- (505) 980-0886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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