Organization
BEAUREGARD CREATIVE ARTS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BEAUREGARD RDT/BCT, LCAT (FOUNDER/SOLE MEMBER)
(917) 204-2846
Entity
Organization
Contact information
Practice address
225 BROADWAY STE 2130, NEW YORK, NY 10007-3733
(917) 204-2846
Mailing address
135 COFFEY ST APT 206C, BROOKLYN, NY 11231-1055
(917) 204-2846
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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