Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2558 | TN |
NPI | 1003189226 |
---|---|
Provider Name | Dr. Alissa Beuerlein |
First Address | Nashville, TN 37206-3237 |
Second Address | Nashville, TN 37206-3237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2012 |
Last Update Date | 05/10/2016 |