BEVERLY FACKRELL, LPC
Counselor - Professional
Active
Individual
NPI: 1700177300
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LPC 1289 (WY) |
Frequently Asked Questions
NPI 1700177300 is the National Provider Identifier for BEVERLY FACKRELL, LPC, a Counselor - Professional provider located in Evanston, WY. This NPI was enumerated on April 29, 2011.
BEVERLY FACKRELL, LPC practices at 177 WOODRIDGE LN, Evanston, WY 82930.
Quick Facts
- NPI
- 1700177300
- Type
- Individual
- Enumerated
- Apr 29, 2011
- Last Updated
- Oct 20, 2015
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