BEVERLY MIX, LPC
Counselor - Mental Health
Active
Individual
NPI: 1255583175
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | LPC (WY) |
| Counselor - Mental Health | 101YM0800X | Yes | LPC (WY) |
Frequently Asked Questions
NPI 1255583175 is the National Provider Identifier for BEVERLY MIX, LPC, a Counselor - Mental Health provider located in Douglas, WY. This NPI was enumerated on October 22, 2008.
BEVERLY MIX, LPC practices at 1841 MADORA AVE, Douglas, WY 82633.
Quick Facts
- NPI
- 1255583175
- Type
- Individual
- Enumerated
- Oct 22, 2008
- Last Updated
- Oct 22, 2008
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