Mr. Timothy Ray Beverly, CDCA
Mr. Timothy Ray Beverly, CDCA is an Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2018.
- Licensed in
- OH
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
302 W Main StFairborn, OH 45324-5037
Phone: (937) 281-4673
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LCDCII.161829 (OH) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 070488 (OH) |
Record details
| NPI number | 1194211409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | July 10, 2018 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
| Mailing address | 100 Crowne Point Place, Cincinnati, OH 45241-5427 |
Other providers in Fairborn
-
Sophia Alridge, BS, CDCA
594 E Dayton Yellow Springs Rd, Fairborn, OH 45324 · (937) 701-6631
-
MS. Christy Lynn Combs, CDCA
302 W Main St, Fairborn, OH 45324-5037 · (937) 281-4673
-
Kelly Eades, CDCA
302 W Main St, Fairborn, OH 45324-5037 · (937) 281-4673
-
Mr. Shelton Dale Eldridge
1420 N Broad St Apt 18, Fairborn, OH 45324-5565 · (937) 206-6570
-
Courtney Gibbs
300 W Main St, Fairborn, OH 45324-5090 · (937) 281-4673