Individual
MR. KENNETH JAMES BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3075 E FLAMINGO RD, SUITE 108, LAS VEGAS, NV 89121-7483
(702) 486-7500
(702) 486-7576
Mailing address
3075 E FLAMINGO RD, SUITE 108, LAS VEGAS, NV 89121-7483
(702) 486-7500
(702) 486-7576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00034
RI
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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