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Shannon Lee Beauchamp, CADCII,ICADC
Addiction (Substance Use Disorder) Counselor in Newport Beach, California
NPI 1902357189

Shannon Lee Beauchamp is an Addiction (Substance Use Disorder) Counselor based in Newport Beach, CA and is specialized in Addiction (Substance Use Disorder). Shannon Lee Beauchamp practices in Newport Beach, CA and has the professional credentials of CADCII,ICADC. The NPI Number for Shannon Lee Beauchamp is 1902357189 and holds a License No. A021560216 (California).

The current practice location address for Shannon Lee Beauchamp is 3101 W Coast Hwy, Newport Beach, CA and can be reached out via phone at 619-715-9408.

Location: 3101 W Coast Hwy, Newport Beach, CA, 92663-3908
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Provider Profile Details
NPI Number
1902357189
Provider Name
Shannon Lee Beauchamp
Credential
CADCII,ICADC
Provider Entity Type
Individual
Gender
Female
Address
3101 W Coast Hwy, Newport Beach, CA, 92663-3908
Phone Number
619-715-9408
Fax Number
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790133346 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
3101 W Coast Hwy
City
State
Zip
92663-4001
Phone Number
619-715-9408
Fax Number
person
Provider Business Mailing Address Details
Address
3101 W Coast Hwy
City
State
Zip
92663-4001
Phone Number
619-715-9408
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A021560216 (California)
Definition
Definition to come...
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