William Glenn Beasley L.P.C.,N.C.C.,M.A.C.

NPI 1003968165 - Counselor - 101YP2500X

NPI Details
NPI 1003968165
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1261 LAVISTA RD NE
UNIT E-8
ATLANTA GA, 30324-3854, US
Phone (404) 633-7971
Fax
Business Location
1261 LAVISTA RD NE
UNIT E-8
ATLANTA GA, 30324-3854, US
Phone (404) 633-7971
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number 000927
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According to our database, William Glenn Beasley L.P.C.,N.C.C.,M.A.C. NPI is 1003968165, taxonomy code is 101YP2500X and license number is 000927, license state is located at Georgia. William Glenn Beasley L.P.C.,N.C.C.,M.A.C. physically located at 1261 Lavista Rd Ne, Atlanta GA, 30324-3854. NPI Number William Glenn Beasley L.P.C.,N.C.C.,M.A.C. has the Individual type.

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1003968165 NPI number is provided on an as is basis without warranty of any kind. 1003968165 is maintained by the National Plan & Provider Enumeration System. The contents of William Glenn Beasley L.P.C.,N.C.C.,M.A.C. are for informational purposes only.