person
Brenda Beauregard, LCDP
Addiction (Substance Use Disorder) Counselor in Pawtucket, Rhode Island
NPI 1659409647

Brenda Beauregard is an Addiction (Substance Use Disorder) Counselor based in Pawtucket, RI and is specialized in Addiction (Substance Use Disorder). Brenda Beauregard practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Brenda Beauregard is 1659409647 and holds a License No. LCDP345 (Rhode Island).

The current practice location address for Brenda Beauregard is 249 Roosevelt Ave, Pawtucket, RI and can be reached out via phone at 401-724-8400 and via fax at 401-365-1100.

Location: 249 Roosevelt Ave, Pawtucket, RI, 02860-2134
person
Provider Profile Details
NPI Number
1659409647
Provider Name
Brenda Beauregard
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
249 Roosevelt Ave, Pawtucket, RI, 02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GH56996 05 RI
institution
Provider Business Practice Location Address Details
Address
249 Roosevelt Ave
City
State
Zip
02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100
person
Provider Business Mailing Address Details
Address
249 Roosevelt Ave
City
State
Zip
02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDP345 (Rhode Island)
Definition
Definition to come...
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