Individual
BEAU J PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
201 HOLIDAY BLVD STE 400, COVINGTON, LA 70433-5282
(228) 297-7667
Mailing address
201 HOLIDAY BLVD, COVINGTON, LA 70433-5088
(228) 297-7667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC-5061
LA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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