Doctor Name: | BEV J CARMAN |
NPI Number: | 1003262957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CP60235502 |
License Number: | CP60235502 |
Business Practice Address: | 20 W Troxell Rd Oak Harbor, WA - 982779701 |
Business Phone Number: | 3608488437 |
Business Fax Number: | 3608485250 |
Mailing Address: | 20 W Troxell Rd, OAK HARBOR |
State: | WA |
Postal Code: | 982779701 |
Phone Number: | 3608488437 |
Fax Number: | 3608485250 |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60235502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |