Trista Beavers, BHCM I

NPI #1871924423 in Pryor, Oklahoma

Provider Information

NPI Number: 1871924423
Entity Type: Individual
Name: Trista Beavers, BHCM I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: BHCM I
Enumeration Date: Dec 9, 2013
Last Updated: Feb 12, 2018

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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