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Individual

PAULA J BEAULIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CADC II, LADC I

Contact information

Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC I
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1546AL
CADC II
MA
01
811
LADC I
MA
Enumeration date
05/06/2013
Last updated
05/06/2013
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