Doctor Name: | MRS. CHARLOTTE MARY BEELER |
NPI Number: | 1588955371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LADC |
License Number: | 302892 |
Business Practice Address: | 810 4th Ave South Suite 152 Moorhead, MN - 565602800 |
Business Phone Number: | 2182871500 |
Business Fax Number: | 2182871267 |
Mailing Address: | 810 4th Ave. South, Suite 152 MOORHEAD |
State: | MN |
Postal Code: | 565602800 |
Phone Number: | 2182871500 |
Fax Number: | 2182871267 |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 302892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |