Provider Demographics
NPI:1497967731
Name:BEAN, MICHAEL HALL (MS LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HALL
Last Name:BEAN
Suffix:
Gender:M
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 H ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5134
Mailing Address - Country:US
Mailing Address - Phone:661-327-5100
Mailing Address - Fax:661-327-5101
Practice Address - Street 1:1326 H ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5134
Practice Address - Country:US
Practice Address - Phone:661-327-5100
Practice Address - Fax:661-327-5101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40911106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist