MICHAEL BEAVERS

CRESTLINE, CA
NPI1407903982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC33698)
Enumeration Date2007-01-05
Last Update Date2010-04-02
Business Address
Mr. MICHAEL BEAVERS LMFT
340 HIGHWAY 138
CRESTLINE, CA 92325-6300
Phone number: 909-338-5807
Mailing Address
Mr. MICHAEL BEAVERS LMFT
PO BOX 6300
CRESTLINE, CA 92325-6300
Phone number: 909-338-5807
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