Individual
JONATHAN DAVID BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
5211 N TRENHOLM RD, COLUMBIA, SC 29206-4815
(803) 422-0035
Mailing address
455 VIRGINIA ST, COLUMBIA, SC 29201-4645
(803) 422-0035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5017
SC
101YP2500X
Professional Counselor
Primary
5017
SC
Other
Enumeration date
04/11/2012
Last updated
06/12/2012
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