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NPI Code Detail

MEDICARE: GINA BEAMAN MFT, LEP

MEDICARE: GINA BEAMAN MFT, LEP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC36139CA

General Provider Information

NPI Number : 1336587427
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA BEAMAN MFT, LEP
Provider Business Mailing Address
First Line : 250 W 1ST ST STE 242
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4742
Country : US
Telephone Number : 909-293-8082
Fax Number :
Provider Business Practice Location Address
First Line : 250 W 1ST ST STE 242
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4742
Country : US
Telephone Number : 909-293-8082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2013
Last Update Date : 04/26/2023

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Directions to “ GINA BEAMAN MFT, LEP” Practice Location

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