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General NPI Number Information
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NPI Number | 1164376695
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Entity Type | Organization
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Legal Business Name | BEESLY COUNSELING, LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1774 ABERDEEN CIR
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City | CROFTON
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State | MD
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Zip | 21114-1638
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Country | US
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Telephone | 443-490-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JACOB DANIEL SEARS
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Credential | LCPC
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Telephone | 315-403-0109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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