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General NPI Number Information
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NPI Number | 1942886403
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Entity Type | Individual
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Provider Name | JOSEPH WARREN BEAL MA, QMHP-R, CADC-R
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1435 G ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4113
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Country | US
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Telephone | 541-735-9420
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Fax |
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Provider Business Mailing Address
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Address Line | 78 CENTENNIAL LOOP STE A
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City | EUGENE
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State | OR
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Zip | 97401-7900
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Country | US
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Telephone | 541-393-0777
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Fax | 541-687-9279
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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 |
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License Number State |
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