Individual
JOHN MICHAEL BEAUBIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2068 INDIAN TRAIL LILBURN RD, NORCROSS, GA 30071-3618
(770) 235-1570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006292
GA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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