| Doctor Name: | MICHELLE BEEMAN |
| NPI Number: | 1033269162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 00398 |
| Business Practice Address: | 214 4th St Sw Willmar, MN - 562013330 |
| Business Phone Number: | 3202148558 |
| Business Fax Number: | 3202352733 |
| Mailing Address: | 530 North Eleventh Avenue East, MELROSE |
| State: | MN |
| Postal Code: | 56352 |
| Phone Number: | 3208084330 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 00398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |