Most Relevant Information
Provider Data
| NPI Number: | 1003306804 |
| Provider Name: | CHRIS BEASLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2018 |
| Last Updated: | 05/16/2018 |
Provider Practice Location
9819 MARGIE CIR
LITTLE ROCK
AR
722096521
Practice Location Phone/Fax
| Phone: | 5013192521 |
| Fax: |
Provider Mailing Location
9819 MARGIE CIR
LITTLE ROCK
AR
722096521
Provider Mailing Phone/Fax
| Phone: | 5013192521 |
| Fax: |