Organization
CHILDREN'S ADVOCACY NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY O BEAUDOIN MA (CO-OWNER)
(704) 833-0154
Entity
Organization
Contact information
Practice address
1371 E GARRISON BLVD STE A, GASTONIA, NC 28054
(704) 833-0154
(704) 833-7076
Mailing address
1371 E GARRISON BLVD STE A, GASTONIA, NC 28054-5155
(704) 833-0154
(704) 833-7076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/10/2011
Last updated
06/21/2018
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