Individual
MIMI BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCDP
Contact information
Practice address
195 S MAIN ST, CHESHIRE, CT 06410-3171
(203) 298-8307
Mailing address
83 CHESTERFIELD RD, EAST LYME, CT 06333-1202
(203) 298-8307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001709
CT
Other
Enumeration date
07/21/2008
Last updated
03/06/2024
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