Individual
KATHRYN BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-3541
(505) 272-2190
Mailing address
450 W BROADWAY APT 9, EUGENE, OR 97401-2875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
01/10/2014
Last updated
03/17/2018
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