Antoinette L Beard, LPCC, CRC

Individual provider Active NPI Professional Counselor · Canfield, OH

NPI 1356445936 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356445936
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E0002270 (OH)
Practice address
545 N Broad St Ste 5
Canfield, OH 44406-9200
Phone
(330) 702-0208
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E0002270OHMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002270 OH Yes

Addresses

Primary practice location

545 N Broad St Ste 5
Canfield, OH 44406-9200

Mailing address

545 N Broad St Ste 5
Canfield, OH 44406-9200
Phone (330) 702-0208

Other providers in Canfield, OH

All providers in Canfield, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.