Provider Demographics
NPI:1174237960
Name:BEESON, JANNETTE LOUISE (MS)
Entity type:Individual
Prefix:
First Name:JANNETTE
Middle Name:LOUISE
Last Name:BEESON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JANNETTE
Other - Middle Name:LOUISE
Other - Last Name:BEESON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MCCARTY
Mailing Address - Street 1:102 HERITAGE WAY NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4544
Mailing Address - Country:US
Mailing Address - Phone:703-771-5100
Mailing Address - Fax:703-777-0170
Practice Address - Street 1:102 HERITAGE WAY NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4544
Practice Address - Country:US
Practice Address - Phone:703-771-5100
Practice Address - Fax:703-777-0170
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor