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
ZIP Code
87020-3038
Phone
(505) 980-0886

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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