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Dustin Beaty, MA
Mental Health Counselor in Forest, Virginia
NPI 1326633116

Dustin Beaty is a Mental Health Counselor based in Forest, VA and is specialized in Mental Health. Dustin Beaty practices in Forest, VA and has the professional credentials of MA. The NPI Number for Dustin Beaty is 1326633116 and holds a License No. 0704013722 (Virginia).

The current practice location address for Dustin Beaty is 1047 Vista Park Dr Ste A, Forest, VA and can be reached out via phone at 434-616-2388.

Location: 1047 Vista Park Dr Ste A, Forest, VA, 24551-4362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326633116
Provider Name
Dustin Beaty
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1047 Vista Park Dr Ste A, Forest, VA, 24551-4362
Phone Number
434-616-2388
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0704013722 01 VA RESIDENT IN COUNSELING LICENSE
institution
Provider Business Practice Location Address Details
Address
1047 Vista Park Dr Ste A
City
Forest
State
Virginia
Zip
24551-4362
Phone Number
434-616-2388
Fax Number
person
Provider Business Mailing Address Details
Address
1047 Vista Park Dr Ste A
City
Forest
State
Virginia
Zip
24551-4362
Phone Number
434-616-2388
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0704013722 (Virginia)
Definition
Definition to come...
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