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General NPI Number Information
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NPI Number | 1285323154
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Entity Type | Individual
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Provider Name | DANIELLE BEASON MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 108 GOLDEN EYE CT
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71901-9544
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Country | US
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Telephone | 970-852-0712
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Fax |
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Provider Business Mailing Address
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Address Line | 2785 B RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81503-3207
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Country | US
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Telephone | 970-852-0712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0018106
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License Number State | CO
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