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Maya Beard
Mental Health Counselor in Dekalb, Illinois
NPI 1699488197

Maya Beard is a Mental Health Counselor based in Dekalb, IL and is specialized in Mental Health. Maya Beard practices in Dekalb, IL. The NPI Number for Maya Beard is 1699488197 and holds a License No. (Illinois).

The current practice location address for Maya Beard is 631 S 1St St, Dekalb, IL and can be reached out via phone at 815-756-8501.

Location: 631 S 1St St, Dekalb, IL, 60115-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699488197
Provider Name
Maya Beard
Credential
Provider Entity Type
Individual
Gender
Female
Address
631 S 1St St, Dekalb, IL, 60115-7109
Phone Number
815-756-8501
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
631 S 1St St
City
Dekalb
State
Illinois
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
person
Provider Business Mailing Address Details
Address
631 S 1St St
City
Dekalb
State
Illinois
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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