Provider Demographics
NPI:1134311780
Name:BEACOM, FRANCES M
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:BEACOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:M
Other - Last Name:BANTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 28 3/4 RD
Mailing Address - Street 2:BLDG A
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-5016
Mailing Address - Country:US
Mailing Address - Phone:970-683-7107
Mailing Address - Fax:970-683-7167
Practice Address - Street 1:439 BREEZE ST
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2650
Practice Address - Country:US
Practice Address - Phone:970-824-6541
Practice Address - Fax:970-824-0313
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health