Healthcare Provider Details
I. General information
NPI: 1013118694
Provider Name (Legal Business Name): MICHAEL ANDERS BEIER MA, RC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/30/2007
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4570 CALLE REAL CASA DEL MURAL
SANTA BARBARA CA
93110-1306
US
IV. Provider business mailing address
4425 102ND LN NE
KIRKLAND WA
98033-7644
US
V. Phone/Fax
- Phone: 805-637-1538
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | RC00057686 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: