Provider Demographics
NPI:1568275279
Name:BEESON, RALPH AUBREY II (BBH-LCPC-LIC-27100)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:AUBREY
Last Name:BEESON
Suffix:II
Gender:M
Credentials:BBH-LCPC-LIC-27100
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 23RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-1611
Mailing Address - Country:US
Mailing Address - Phone:406-403-4922
Mailing Address - Fax:
Practice Address - Street 1:517 23RD AVE NE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-1611
Practice Address - Country:US
Practice Address - Phone:406-403-4922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP.0004268101YA0400X
FLICADC.0126588101YA0400X
MTBBH-LCPC-LIC-27100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)