Individual
MS. DONNA LYNNE BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W WHITTAKER ST STE C, STE C, SALEM, IL 62881-2034
(618) 548-2181
(618) 548-1035
Mailing address
412 COTTONWOOD DR, SALEM, IL 62881-2545
(618) 548-0137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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