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MICHELLE J. BEAUPRE LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1295237139
Individual Registrant: MICHELLE J. BEAUPRE LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
16950 VIA DE SANTA FE # 5060-118 RANCHO SANTA FE, CA 92091-4606 US
Tel: 760-504-9375 Fax: --
Tel: 760-504-9375 Fax: --
Contact information for business:
PO BOX 501436 SAN DIEGO, CA 92150-1436 US
Tel: 760-504-9375 Fax: --
Tel: 760-504-9375 Fax: --
Registration Information:
NPI: 1295237139
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCSW82215 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
