Larry Beverly II
Larry Beverly II is a Mental Health Counselor in Putnam, Connecticut. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
391 Pomfret StPutnam, CT 06260-1852
Phone: (860) 963-6763
Fax: (860) 963-6764
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1801233689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2013 |
| Last updated in NPPES | June 3, 2013 |
| Mailing address | 391 Pomfret St, Putnam, CT 06260-1852 |
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