Doctor Name: | HALEY JOYCE BEEM |
NPI Number: | 1245665280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC, MHRT-C |
License Number: | CAC5382 |
Business Practice Address: | 235 Center St Brewer, ME - 044121961 |
Business Phone Number: | 2075619496 |
Business Fax Number: | 2075619498 |
Mailing Address: | 235 Center St, BREWER |
State: | ME |
Postal Code: | 044121961 |
Phone Number: | 2075619496 |
Fax Number: | 2075619498 |
NPI Enumeration Date: | 09/10/2013 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAC5382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |