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MR. JOHN R. BEVERLY
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1154628121
Individual Registrant:MR. JOHN R. BEVERLY
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
330 KAY LARKIN DRIVE PALATKA, FL 32177-2307 US
Tel: 386-329-3780 Fax: 386-385-1269
Tel: 386-329-3780 Fax: 386-385-1269
Contact information for business:
330 KAY LARKIN DRIVE PALATKA, FL 32177-2307 US
Tel: 386-329-3780 Fax: 386-385-1269
Tel: 386-329-3780 Fax: 386-385-1269
Registration Information:
NPI: 1154628121
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
