JEFFREY DALE BEAVER

BELLINGHAM, WA
NPI1114296514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-12-14
Last Update Date2011-12-14
Business Address
-- JEFFREY DALE BEAVER
1133 RAILROAD AVE
BELLINGHAM, WA 98225-5055
Phone number: 360-676-2164
Mailing Address
-- JEFFREY DALE BEAVER
1133 RAILROAD AVE
BELLINGHAM, WA 98225-5055
Phone number: 360-676-2164