Individual
LISA C BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
49587 HIDDENBROOK DR, MACOMB, MI 48042-4849
(586) 612-1631
Mailing address
49587 HIDDENBROOK DR, MACOMB, MI 48042-4849
(586) 612-1631
(586) 261-8002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009985
MI
Other
Enumeration date
09/01/2006
Last updated
04/13/2022
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