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MR. TIMOTHY RAY BEVERLY CDCA

CDCA

Addiction (Substance Use Disorder) Counselor

NPI: 1194211409Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

070488(OH)LCDCII.161829(OH)

Contact & Hours

Address
302 W MAIN ST
FAIRBORN, OH 45324

Quick Facts

NPI
1194211409
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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