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General NPI Number Information
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NPI Number | 1346044971
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Entity Type | Organization
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Legal Business Name | JANETTE BEVERLEY COUNSELING LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 320 11TH AVE S STE 205
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City | NAMPA
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State | ID
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Zip | 83651-5074
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Country | US
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Telephone | 208-585-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 5280 S TAVISTOCK AVE
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City | MERIDIAN
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State | ID
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Zip | 83642-5192
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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 | JANETTE BEVERLEY
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Credential | LPC
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Telephone | 208-671-2117
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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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