Doctor Name: | BEVERLY JEWELL |
NPI Number: | 1205277175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | LPCC326 |
Business Practice Address: | 225 S Civic Dr Suite 1-3 Palm Springs, CA - 922627226 |
Business Phone Number: | 7606997027 |
Business Fax Number: | 7603200725 |
Mailing Address: | 225 S Civic Dr, Suite 1-3 PALM SPRINGS |
State: | CA |
Postal Code: | 922627226 |
Phone Number: | 7606997027 |
Fax Number: | 7603200725 |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPCC326 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |