Patty Beaver, LSW
Counselor, Mental Health in Loma Linda, CA. Individual provider (NPI-1).
NPI number1003273590
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1003273590
- Entity type
- Individual (NPI-1)
- Name
- Patty Beaver
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2016
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 11742 | PR | Yes |
Practice location
11201 Benton StLoma Linda, CA 92357-5703
Phone 909-674-2794
Mailing address
11201 Benton StLoma Linda, CA 92357-1000
Phone 909-674-2794
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