Beverley V Theodore, LPC
NPI #1861076614 in Richmond Hill, Georgia
Provider Information
- NPI Number
- 1861076614
- Entity Type
- Individual
- Name
- Beverley V Theodore, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- May 7, 2021
- Last Updated
- May 7, 2021
Practice Location
- Address
- 505 HARRIS TRAIL RD APT 4H
- City
- Richmond Hill
- State
- Georgia
- ZIP Code
- 31324-4250
- Phone
- (404) 944-0525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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