Provider Demographics
NPI:1003262957
Name:CARMAN, BEVERLY J (SUDP)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:CARMAN
Suffix:
Gender:F
Credentials:SUDP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20 W TROXELL RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-9701
Mailing Address - Country:US
Mailing Address - Phone:360-848-8437
Mailing Address - Fax:360-848-5250
Practice Address - Street 1:8212 S MARCH POINT RD
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-8684
Practice Address - Country:US
Practice Address - Phone:360-588-2800
Practice Address - Fax:360-588-2808
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACP60235502101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)