Fackrell, Beverly
Fackrell, Beverly is an sole proprietor health care provider with primary practice located at 177 Woodridge Ln , Evanston WY 82930-4615. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fackrell, Beverly can be contacted via phone (307) 679-8765.Contact Information
Primary practice address
177 Woodridge Ln
Evanston WY 82930-4615
Phone: (307) 679-8765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 1289 | Wyoming |
Profile Details
| NPI number | 1700177300 |
|---|---|
| LBN Legal business name | Fackrell, Beverly |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2011 |
| Last updated | Oct 20th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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