Doctor Name: | BEVERLEY BELLARD |
NPI Number: | 1679942940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC-5889 |
Business Practice Address: | 190 W. Main Street Kuna, ID - 83634 |
Business Phone Number: | 2089229001 |
Business Fax Number: | 2089223778 |
Mailing Address: | Po Box 959, KUNA |
State: | ID |
Postal Code: | 836340900 |
Phone Number: | 2089229001 |
Fax Number: | 2089223778 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-5889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |