MR. Michael Beavers, LMFT
NPI #1407903982 in Crestline, California
Provider Information
- NPI Number
- 1407903982
- Entity Type
- Individual
- Name
- MR. Michael Beavers, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Apr 2, 2010
Practice Location
- Address
- 340 HIGHWAY 138
- City
- Crestline
- State
- California
- ZIP Code
- 92325-6300
- Phone
- (909) 338-5807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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