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Individual

MS. JESSICA BEAUPRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDP II

Contact information

Practice address
57 TERRACE AVE, WARWICK, RI 02889-4015
(401) 479-2606
Mailing address
57 TERRACE AVE, WARWICK, RI 02889-4015
(401) 479-2606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00729
RI

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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