Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Willis Jerome Beasley, MC

Individual provider Professional Counselor · NPI 1952440299

Willis Jerome Beasley, MC is a Professional Counselor in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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Practice location Address checks out

5055 S Mission Rd 4302
Tucson, AZ 85746
Phone: (520) 314-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-21201 (AZ)

Record details

NPI number1952440299
Entity typeIndividual (Type 1)
GenderMale
Credentials MC
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address5055 S Mission Rd, 4302, Tucson, AZ 85746

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