Doctor Name: | JOY M BEELER |
NPI Number: | 1053626903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 2010023788 |
Business Practice Address: | 205 N Greene Ave Mountain Grove, MO - 657111700 |
Business Phone Number: | 4172541508 |
Business Fax Number: | |
Mailing Address: | Po Box 335, CABOOL |
State: | MO |
Postal Code: | 656890335 |
Phone Number: | 4172541508 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2010023788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |