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Individual

JEREMY BEAUCHAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
350 MAIN ST, BAKER, LA 70714-3767
(225) 778-6783
Mailing address
37227 CITY PARK AVE, GEISMAR, LA 70734-3269
(225) 313-6512

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/14/2017
Last updated
01/14/2017
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