Provider Demographics
NPI:1760031827
Name:BEERE, CARA
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:BEERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 18TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-9737
Mailing Address - Country:US
Mailing Address - Phone:717-599-9089
Mailing Address - Fax:
Practice Address - Street 1:1445 8TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-9351
Practice Address - Country:US
Practice Address - Phone:541-997-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor