Provider Demographics
NPI:1285323154
Name:BEASON, DANIELLE (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:BEASON
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2785 B RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503-3207
Mailing Address - Country:US
Mailing Address - Phone:970-852-0712
Mailing Address - Fax:
Practice Address - Street 1:108 GOLDEN EYE CT
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71901-9544
Practice Address - Country:US
Practice Address - Phone:970-852-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health