Beverly Grace Delos Reyes, M.A., L.P.C.

Individual provider Active NPI Professional Counselor · Tamuning, GU

NPI 1093183154 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1093183154
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-147 (GU)
Practice address
790 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone
(671) 647-5440
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-147GUMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-147 GU Yes

Addresses

Primary practice location

790 Gov Carlos G Camacho Rd
Tamuning, GU 96913

Mailing address

790 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3129
Phone (671) 647-5440

Other providers in Tamuning, GU

All providers in Tamuning, GU · Professional Counselor in Guam

Sources for this page

Verify at the official NPI Registry.