Individual
MARK BEAUREGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDT-BCT, LCAT
Contact information
Practice address
225 BROADWAY STE 2130, NEW YORK, NY 10007-3733
(917) 204-2846
Mailing address
225 BROADWAY STE 2130, NEW YORK, NY 10007-3733
(917) 204-2846
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000857
NY
Other
Enumeration date
04/05/2007
Last updated
04/23/2019
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