Individual
JENNIFER R. BEAUJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
(770) 873-0464
Mailing address
403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011296
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
04/30/2020
Last updated
10/15/2021
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