Individual
HEATHER H BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC & MHRT-CSP
Contact information
Practice address
24 SWEDEN ST, CARIBOU, ME 04736-2127
(207) 493-3361
(207) 492-4889
Mailing address
24 SWEDEN ST, CARIBOU, ME 04736-2127
(207) 493-3361
(207) 492-4889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3875
ME
101YM0800X
Mental Health Counselor
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103850000
MAINE CARE
ME
Enumeration date
09/27/2007
Last updated
10/11/2012
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