Beasley, Kristin Lee
Beasley, Kristin Lee is an individual health care provider with primary practice located at 2080 N Winery Ave #101, Fresno CA 93703-4817. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beasley, Kristin Lee can be contacted via phone (559) 252-6353.Contact Information
Primary practice address
2080 N Winery Ave #101
Fresno CA 93703-4817
Phone: (559) 252-6353
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSB94020449 | California |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSB94020449 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSB94020449 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSB94020449 | California |
Behavioral Health & Social Service Providers / Family | 103TF0000X | PSB94020449 | California |
Profile Details
NPI number | 1104237833 |
---|---|
LBN Legal business name | Beasley, Kristin Lee |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2014 |
Last updated | May 15th, 2014 - about 10 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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