Provider Demographics
NPI:1619713112
Name:BEEBE, DAVID NORMAN (MS ED, LPC, NCC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NORMAN
Last Name:BEEBE
Suffix:
Gender:M
Credentials:MS ED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-4816
Mailing Address - Country:US
Mailing Address - Phone:563-289-7394
Mailing Address - Fax:
Practice Address - Street 1:1225 E RIVER DR STE 330
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-5761
Practice Address - Country:US
Practice Address - Phone:563-424-0136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health